chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: M
Vaccine: HEP, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in left upper arm axillary area.
Age: 57.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 50.0
Sex: F
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 36.0
Sex: M
Vaccine: HEP, PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm.
Age: 63.0
Sex: M
Vaccine: HEP, PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 45.0
Sex: M
Vaccine: HEP, PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, swelling, pain in right upper axillary area.
Age: 43.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 46.0
Sex: M
Vaccine: PPV, TD
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Redness, warmth, pain, swelling in right upper arm axillary area.
Age: 38.0
Sex: M
Vaccine: PPV, TD
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 50.0
Sex: F
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 32.0
Sex: M
Vaccine: PPV, TD
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 31.0
Sex: M
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 43.0
Sex: M
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Sex: M
Vaccine: PPV, TD
Symptoms: Nonspecific reaction
Clinical narrative: Left blank on form.
Age: 49.0
Sex: F
Vaccine: PPV, TD
Symptoms: Nonspecific reaction
Clinical narrative: Redness/warmth/pain/swelling in axillary area.
Age: 17.0
Sex: F
Vaccine: HEPA, TYP
Symptoms: Pruritus, Rash macular
Clinical narrative: The next day or two noticed a red raised rash which looked like a "bug bite" on abdomen then noticed spread to lower back & upper thighs.  C/O itchiness- no other symptoms.  Did not take Benadryl.  7/7/06 Pt's better - never took Benadryl.
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Delirium, Insomnia, Irritability, Pyrexia
Clinical narrative: Febrile within 24 hours.  Still febrile 72 after shot.  Temp max = 104.  Very irritable.  Speaking deliriously.  Unable to sleep.
Age: 34.0
Sex: M
Vaccine: PPV, TD
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Redness/warmth/pain/swelling in R upper A axillary area
Age: 36.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness/warmth/pain/swelling in right upper arm axillary area.
Age: 41.0
Sex: M
Vaccine: PPV
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Redness/warmth/pain/swelling in R upper A axillary area.
Age: 30.0
Sex: M
Vaccine: HEP, PPV
Symptoms: Feeling hot, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness/warmth/pain/swelling in R upper A axillary area.
Age: 31.0
Sex: M
Vaccine: ANTH, FLUX, TTOX
Symptoms: Arrhythmia, Atrial septal defect, Convulsion, Syncope
Clinical narrative: Heart arrythmia, Syncope, Seizure. Admitted through ED. Stress Test, 3 days telemetry monitoring, Echocardiogram, All normal. 12/12/06 Received medical records from hospital which reveal patient admitted 5/8/06-5/10/06 s/p syncopy & possible seizure following vax.  Patient was incontinent of urine & had post ictal period.  Found to be in atrial fib & was admitted to cardio to r/o MI which was ruled out by enzymes.  Instructed not to receive further anthrax vax. Final Dx: Syncope.
Age: 45.0
Sex: M
Vaccine: HEPAB
Symptoms: Skin nodule
Clinical narrative: PATIENT DEVELOPED A PAINFUL BUMP ON RIGHT SIDE OF MANDIBLE S/P 1 DAY AFTER TWINRIX VACCINATION.  CONTINUE TO OBSERVE AREA FOR PROGRESSION IN SIZE AND ADDITIONAL SX.  PATIENT WILL F/U WITH PCM AS NEEDED.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site mass, Musculoskeletal stiffness
Clinical narrative: On day one of vaccine, injection site indurated sl. and reddened and tender. Resolved in 2 days. Very tired all week after vaccine. C/O slightly stiff neck on day 3 and then resolved. On day 6 after vaccine, began with nausea; On day 7 began with severe headache ( said 8 on scale of 1-10; photosensitive and asked me to come home from work ( highly unusual for this 18 y.o.) (forehead not occiput location of H/A )and nausea and fever of 101 degrees. sleeping much; Vital signs normal other than temp. Has not been ill in over a year; no other friends or family have been ill with anything resembling this Sx picture. I am monitoring Sx and have not called our physician on call seeing as it is the weekend and Sx are not intensifying. I will if Sx worsen or continue beyond a day.
Age: 18.0
Sex: M
Vaccine: MEN
Symptoms: Nausea, Photophobia, Pyrexia
Clinical narrative: On day one of vaccine, injection site indurated sl. and reddened and tender. Resolved in 2 days. Very tired all week after vaccine. C/O slightly stiff neck on day 3 and then resolved. On day 6 after vaccine, began with nausea; On day 7 began with severe headache ( said 8 on scale of 1-10; photosensitive and asked me to come home from work ( highly unusual for this 18 y.o.) (forehead not occiput location of H/A )and nausea and fever of 101 degrees. sleeping much; Vital signs normal other than temp. Has not been ill in over a year; no other friends or family have been ill with anything resembling this Sx picture. I am monitoring Sx and have not called our physician on call seeing as it is the weekend and Sx are not intensifying. I will if Sx worsen or continue beyond a day.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Haematocrit decreased, Haemoglobin decreased, Laboratory test abnormal, Leukaemia, Lymphopenia
Clinical narrative: This female subject was enrolled in a study. On 4/26/06 and 5/30/06, she received a booster of either combined Boostrix (IM, LD) either Menactra (IM LD). This subject received Menactra at V1 and Boostrix at V2. On 6/26/06, 61 days after the 1st dose of Blinded vaccine, 27 days after the 2nd dose of Blinded vaccine, this 13 year old subject was diagnosed with having leukemia and was hospitalized for further work up and treatment. Laboratory tests were performed. Outcome was unknown at time of reporting. Investigator causality was unknown at the time of reporting. Further information has been requested.
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Neutropenia, Platelet count decreased, Red blood cell count decreased, White blood cell count increased
Clinical narrative: This female subject was enrolled in a study. On 4/26/06 and 5/30/06, she received a booster of either combined Boostrix (IM, LD) either Menactra (IM LD). This subject received Menactra at V1 and Boostrix at V2. On 6/26/06, 61 days after the 1st dose of Blinded vaccine, 27 days after the 2nd dose of Blinded vaccine, this 13 year old subject was diagnosed with having leukemia and was hospitalized for further work up and treatment. Laboratory tests were performed. Outcome was unknown at time of reporting. Investigator causality was unknown at the time of reporting. Further information has been requested.
Sex: M
Vaccine: HIBV, PNC
Symptoms: Autism
Clinical narrative: This case was considered medically important (OMIC). Information regarding Hib-Titer vaccine was received from a consumer regarding a male patient who developed autism. The patient received a dose on an unspecified date. Relevant medical history was not provided. Indication for Hib-Titer vaccine was immunization. Product was administered on an unspecified date. Dose regimen was 1 dose 1 time per day. Additional suspect medication included Prevnar. Concomitant medications were not reported. A father reported that his son was diagnosed with autism after receiving numerous injections. He commented that he did not feel that his son's autism is related to the injection. The child also received Prevnar. Dates of vaccination were not provided. Outcome is unknown. No additional information was available at the time of this report.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever 102.2 sore arm shot at 11:20, achy body, fever at 12:30, vomiting and nausea at 4:45 and beyond. Went to ER. Gave nausea drug.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever 102.2 sore arm shot at 11:20, achy body, fever at 12:30, vomiting and nausea at 4:45 and beyond. Went to ER. Gave nausea drug.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever to 102.2, pain at injection site within 12 hours of injection.  Nausea and vomiting within  16 hours of injection.  Emergency room visit for vomiting. Anti-emetic meds.
Age: 19.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site pain, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever to 102.2, pain at injection site within 12 hours of injection.  Nausea and vomiting within  16 hours of injection.  Emergency room visit for vomiting. Anti-emetic meds.
Age: 63.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Arthralgia, Injection site pain, Malaise, Myalgia, Pyrexia
Clinical narrative: Pneumovax and DT Mon July 2, 2006 had DT several times past that July 3-4-5-6,2006. Fever 102, myalgias, arthralgias, unwell, pain lt arm site of Pneumovax.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Anorexia, Arthralgia, Fatigue, Feeling hot, Hypokinesia
Clinical narrative: Evening of vaccine, site was tender to touch. The next day I felt achy, joints felt achy like the flu. No fever, no chills, slept alot. The 2nd day after I felt fatigued, run down, nauseated, unable to eat. Injection site was warm, felt a lump and very tender to touch, unable to sleep on rt side, pain with raising my right arm. Pain/tenderness lasted 6-7 days until I could touch the site without discomfort.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Influenza like illness, Injection site mass, Myalgia, Nausea, Pain
Clinical narrative: Evening of vaccine, site was tender to touch. The next day I felt achy, joints felt achy like the flu. No fever, no chills, slept alot. The 2nd day after I felt fatigued, run down, nauseated, unable to eat. Injection site was warm, felt a lump and very tender to touch, unable to sleep on rt side, pain with raising my right arm. Pain/tenderness lasted 6-7 days until I could touch the site without discomfort.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Somnolence, Tenderness
Clinical narrative: Evening of vaccine, site was tender to touch. The next day I felt achy, joints felt achy like the flu. No fever, no chills, slept alot. The 2nd day after I felt fatigued, run down, nauseated, unable to eat. Injection site was warm, felt a lump and very tender to touch, unable to sleep on rt side, pain with raising my right arm. Pain/tenderness lasted 6-7 days until I could touch the site without discomfort.
Age: 33.0
Sex: M
Vaccine: RAB
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Redness and swelling of right ft/ankle, right hand noted with slight swelling, 1+pilling edema to bilat lower ext. C/o intense itching started last pm a few hrs after shot, cont's to present time.
Age: 0.34
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Injection site discolouration, Injection site erythema, Pain, Rash pruritic, Urticaria
Clinical narrative: Within minutes after getting Pediarix, Hib and Prevnar pt broke out with red urticaria. 1cm x 2cm itchy rash and started to hurt and blanch (blanching broke). We gave Benadryl by 10mg, later the rash was fading with Benedryl after 20 mins.
Sex: U
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Redness left arm with minimal swelling and tenderness; size 85 X 78 mm; 0 fever
Age: 25.0
Sex: F
Vaccine: TDAP
Symptoms: Cellulitis, Joint range of motion decreased, Pain
Clinical narrative: Patient presents to clinic 2 days after receiving Tdap with complaints of Rt. arm pain, loss of range of motion, cellulitis in area.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Blister, Chest pain, Dizziness, Dyspnoea
Clinical narrative: Fatigue, muscle joint pain, dizziness, memory loss, black outs, chest pain with activity, shortness of breath, small red blisters on skin that pop and bleed. Symptoms have come and gone over the past 8 years. The fatigue and muscle, joint pain are the most common reocurrences. I have been to many doctors over the past 8 years without anyone being able to help.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Fatigue, Liver function test abnormal, Myalgia, Viral infection
Clinical narrative: Fatigue, muscle joint pain, dizziness, memory loss, black outs, chest pain with activity, shortness of breath, small red blisters on skin that pop and bleed. Symptoms have come and gone over the past 8 years. The fatigue and muscle, joint pain are the most common reocurrences. I have been to many doctors over the past 8 years without anyone being able to help.
Age: 1.42
Sex: M
Vaccine: DTAPH
Symptoms: Lymphadenopathy, Mouth ulceration, Pain, Pharyngolaryngeal pain, Pyrexia
Clinical narrative: Started with low grade fever, vomiting on 7/1/2006 then progressed to high grade fever and body aches. then fever worsened and he had a sore mouth, swollen glands and sores in his throat.
Age: 1.42
Sex: M
Vaccine: DTAPH
Symptoms: Vomiting
Clinical narrative: Started with low grade fever, vomiting on 7/1/2006 then progressed to high grade fever and body aches. then fever worsened and he had a sore mouth, swollen glands and sores in his throat.
Age: 53.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Headache, Myalgia, Rash
Clinical narrative: HAD FLU FOLLOWING VACCINE SHOT. I EXPERIMENT CONTINUOUS (PM) JOINTS PAIN, MUSCULAR PAIN, SEVERAL HEADACHES, SKIN RASH ETC. SINCE 2003.
Age: 73.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Headache, Injury, Pharyngitis, Rhinitis, Syncope
Clinical narrative: Got out of bed 11:00PM feeling sick. I fainted on bathroom tile floor when I woke, I was feeling sick, vomited thru following day, ended with a chronic deep cough for the next 3 wks.
Age: 73.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Vomiting
Clinical narrative: Got out of bed 11:00PM feeling sick. I fainted on bathroom tile floor when I woke, I was feeling sick, vomited thru following day, ended with a chronic deep cough for the next 3 wks.
Age: 73.0
Sex: F
Vaccine: DTAP, PPV, TDAP
Symptoms: Cough, Malaise, Syncope, Vomiting
Clinical narrative: Got out of bed 11:00PM feeling sick. I fainted on bathroom tile floor when I woke, I was feeling sick, vomited thru following day, ended with a chronic deep cough for the next 3 wks.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Chest pain, Enzyme abnormality, Myocarditis
Clinical narrative: An 18 year old male patient, with no pre-existing medical history, had received an IM, deltoid, first dose injection of Menactra, lot number U1821AA; an IM, deltoid, first dose injection of Boostrix, lot number AC52B005CA; and an IM, deltoid injection of Hepatitis A vaccine, lot number AHAB0990B; on 6/15/06. At the time of vaccination, the patient was experiencing tactile temperature and malaise. Two days post vaccination, the patient developed acute chest pain which failed to respond to analgesics. He had no complaints of syncope or palpitations. Upon exam, an EKG showed diffuse ST elevations, and the patient had elevated Troponin and CK-MB levels. Per the reporter, Troponin 722.8 (0-0.4) and CK-MB 32.5 (6-17). He was subsequently admitted to the hospital for two days. At the time of this report, the patient had recovered.
Age: 18.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, HEPA, MNQ, TDAP
Symptoms: Chest pain, Electrocardiogram abnormal, Laboratory test abnormal, Malaise, Pyrexia
Clinical narrative: An 18 year old male patient, with no pre-existing medical history, had received an IM, deltoid, first dose injection of Menactra, lot number U1821AA; an IM, deltoid, first dose injection of Boostrix, lot number AC52B005CA; and an IM, deltoid injection of Hepatitis A vaccine, lot number AHAB0990B; on 6/15/06. At the time of vaccination, the patient was experiencing tactile temperature and malaise. Two days post vaccination, the patient developed acute chest pain which failed to respond to analgesics. He had no complaints of syncope or palpitations. Upon exam, an EKG showed diffuse ST elevations, and the patient had elevated Troponin and CK-MB levels. Per the reporter, Troponin 722.8 (0-0.4) and CK-MB 32.5 (6-17). He was subsequently admitted to the hospital for two days. At the time of this report, the patient had recovered.
Age: 40.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Blister, Fluid retention, Herpes zoster, Injection site erythema, Injection site swelling
Clinical narrative: Began w/ fever 99.3-100.1. 6/18, 6/21 red rash left armpit area with 2 pussy blisters. 6/22 4 more pussy blisters and extreme pain. Seen by MD 6/23. Given Vicodin. Blisters developed on head 6/23-6/24. Back of neck, crown of head, very painful to touch w/ blisters. More blisters (pussy) filled developed on chest 6/27/06. Seen by MD 6/27/06. Given Valtrex and Bactroban for infected shingles. L upper arm swollen, hot to touch (2" larger than R upper arm circumference) swelling and redness to L upper arm developed 6/20 06. Shingles scabbed 6/30/06. Blisters to head scabbed over 6/29/06. Shingles cont with pain off and on currently. On Neurontin for pain.
Age: 40.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Pain, Pyrexia, Rash erythematous
Clinical narrative: Began w/ fever 99.3-100.1. 6/18, 6/21 red rash left armpit area with 2 pussy blisters. 6/22 4 more pussy blisters and extreme pain. Seen by MD 6/23. Given Vicodin. Blisters developed on head 6/23-6/24. Back of neck, crown of head, very painful to touch w/ blisters. More blisters (pussy) filled developed on chest 6/27/06. Seen by MD 6/27/06. Given Valtrex and Bactroban for infected shingles. L upper arm swollen, hot to touch (2" larger than R upper arm circumference) swelling and redness to L upper arm developed 6/20 06. Shingles scabbed 6/30/06. Blisters to head scabbed over 6/29/06. Shingles cont with pain off and on currently. On Neurontin for pain.
Age: 31.0
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Sl itching, induration 3" L deltoid with warmth. Had bites on that arm before, bug bites (mosquito) L deltoid upper arm of induration at 11 o' clock and 6 o' clock with redness.
Age: 54.0
Sex: F
Vaccine: YF
Symptoms: Crying, Nausea, Pruritus, Urticaria
Clinical narrative: On 6/19/06 reported Hives on neck and chest c/o nausea. On 6/23/06 continues to have hives now all over described as weeping sores and itchy.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TD
Symptoms: Antinuclear antibody positive, Arthralgia, Erythema, Feeling hot, Joint swelling
Clinical narrative: Initial report received on 21Jun06 from an investigator participating in the above mentioned trial. This 16 yr old female subject was diagnosed with juvenile rheumatoid arthritis 19 days after she had received a dose of Menactra, lot number U1780AA. The subject had also received concurrently a Decavac vaccine, lot number U1586A, and a Hep A vaccine, lot 0538R on 06Jan06. The subject's medical history was significant for poor weight gain that noted on the day of the vaccinations; her weight at the time was 81 pounds. A nutritional consult on 31Jan06 showed the subject to have a BMI of 13.7, and she was below the 75% of ideal body weight for her height of 5 feet and 6 inches. She was treated with Ensure supplements. The subject has a family history of juvenile rheumatoid arthritis in her mother at age 5 and her brother was with Behcet's disease. Nineteen days after receiving the vaccinations, the subject experienced swelling of the fingers in both hands, shoulder pain, morning stiffness; her joints were red, hot, swollen and painful, and she had hand, wrist, and elbow MCP synovitis with a soft mass on the dorsal aspect of her right wrist. Lab results 13 days after start of the symptoms showed Westergren ESR level at 49 (range 0-20 mm/hr), ANA screen was positive, RA 169 (range <43 iu/mL) and the lupus panel was negative. An x-ray of the right and left hand for painful swelling showed minimal PIP joint soft tissue changes with no evidence of erosive change. Further tests, 15 days later, showed CycCitrullinPet (CCP) IgG> 200 U and negative HLA-B27 antigen. Approximately 3 weeks after that, Westergren ESR was high at 46 (range 0-20 mm/hr). Four months after start of symptoms, Westergren ESR was 20 (range 0-20 mm/hr). Around the same time, the subject was evaluated by a physician and it was noted that the subject was feeling stronger and was able to get out of her chair easier. She had no morning stiffness but did have mild synovitis in MCP joints and wrists. The subject was treated with methotrexate and Naprosyn. The investigator considered this serious adverse event as a persistent or significant disability/incapacity. According to the investigator, the event of juvenile rheumatoid arthritis was related to the study vaccine as well as to the Decavac and Hep A vaccine. Due to the subject's significant family history, it was thought that the vaccines could have been possible triggers. Documents held by sender: X-rays, medical records.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TD
Symptoms: Musculoskeletal stiffness, Oedema peripheral, Red blood cell sedimentation rate increased, Rheumatoid arthritis, Skin nodule
Clinical narrative: Initial report received on 21Jun06 from an investigator participating in the above mentioned trial. This 16 yr old female subject was diagnosed with juvenile rheumatoid arthritis 19 days after she had received a dose of Menactra, lot number U1780AA. The subject had also received concurrently a Decavac vaccine, lot number U1586A, and a Hep A vaccine, lot 0538R on 06Jan06. The subject's medical history was significant for poor weight gain that noted on the day of the vaccinations; her weight at the time was 81 pounds. A nutritional consult on 31Jan06 showed the subject to have a BMI of 13.7, and she was below the 75% of ideal body weight for her height of 5 feet and 6 inches. She was treated with Ensure supplements. The subject has a family history of juvenile rheumatoid arthritis in her mother at age 5 and her brother was with Behcet's disease. Nineteen days after receiving the vaccinations, the subject experienced swelling of the fingers in both hands, shoulder pain, morning stiffness; her joints were red, hot, swollen and painful, and she had hand, wrist, and elbow MCP synovitis with a soft mass on the dorsal aspect of her right wrist. Lab results 13 days after start of the symptoms showed Westergren ESR level at 49 (range 0-20 mm/hr), ANA screen was positive, RA 169 (range <43 iu/mL) and the lupus panel was negative. An x-ray of the right and left hand for painful swelling showed minimal PIP joint soft tissue changes with no evidence of erosive change. Further tests, 15 days later, showed CycCitrullinPet (CCP) IgG> 200 U and negative HLA-B27 antigen. Approximately 3 weeks after that, Westergren ESR was high at 46 (range 0-20 mm/hr). Four months after start of symptoms, Westergren ESR was 20 (range 0-20 mm/hr). Around the same time, the subject was evaluated by a physician and it was noted that the subject was feeling stronger and was able to get out of her chair easier. She had no morning stiffness but did have mild synovitis in MCP joints and wrists. The subject was treated with methotrexate and Naprosyn. The investigator considered this serious adverse event as a persistent or significant disability/incapacity. According to the investigator, the event of juvenile rheumatoid arthritis was related to the study vaccine as well as to the Decavac and Hep A vaccine. Due to the subject's significant family history, it was thought that the vaccines could have been possible triggers. Documents held by sender: X-rays, medical records.
Age: 16.0
Sex: F
Vaccine: HEPA, MNQ, TD
Symptoms: Synovitis, Weight decreased
Clinical narrative: Initial report received on 21Jun06 from an investigator participating in the above mentioned trial. This 16 yr old female subject was diagnosed with juvenile rheumatoid arthritis 19 days after she had received a dose of Menactra, lot number U1780AA. The subject had also received concurrently a Decavac vaccine, lot number U1586A, and a Hep A vaccine, lot 0538R on 06Jan06. The subject's medical history was significant for poor weight gain that noted on the day of the vaccinations; her weight at the time was 81 pounds. A nutritional consult on 31Jan06 showed the subject to have a BMI of 13.7, and she was below the 75% of ideal body weight for her height of 5 feet and 6 inches. She was treated with Ensure supplements. The subject has a family history of juvenile rheumatoid arthritis in her mother at age 5 and her brother was with Behcet's disease. Nineteen days after receiving the vaccinations, the subject experienced swelling of the fingers in both hands, shoulder pain, morning stiffness; her joints were red, hot, swollen and painful, and she had hand, wrist, and elbow MCP synovitis with a soft mass on the dorsal aspect of her right wrist. Lab results 13 days after start of the symptoms showed Westergren ESR level at 49 (range 0-20 mm/hr), ANA screen was positive, RA 169 (range <43 iu/mL) and the lupus panel was negative. An x-ray of the right and left hand for painful swelling showed minimal PIP joint soft tissue changes with no evidence of erosive change. Further tests, 15 days later, showed CycCitrullinPet (CCP) IgG> 200 U and negative HLA-B27 antigen. Approximately 3 weeks after that, Westergren ESR was high at 46 (range 0-20 mm/hr). Four months after start of symptoms, Westergren ESR was 20 (range 0-20 mm/hr). Around the same time, the subject was evaluated by a physician and it was noted that the subject was feeling stronger and was able to get out of her chair easier. She had no morning stiffness but did have mild synovitis in MCP joints and wrists. The subject was treated with methotrexate and Naprosyn. The investigator considered this serious adverse event as a persistent or significant disability/incapacity. According to the investigator, the event of juvenile rheumatoid arthritis was related to the study vaccine as well as to the Decavac and Hep A vaccine. Due to the subject's significant family history, it was thought that the vaccines could have been possible triggers. Documents held by sender: X-rays, medical records.
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Pallor, Syncope
Clinical narrative: Seriousness Criteria: Other Medically Significant (OMIC). Initial report received on 7/3/06 from a health care professional. A 17 year old female pt had received an ID, left forearm injection of Tubersol 5 TU, lot C23649AA); and an IM, left deltoid, first dose injection of Menactra lot U2107AA. On 7/3/06, within 5 minutes after receiving the tuberculin test, the pt "became pale and passed out for a few seconds". Her blood pressure was 80/60. The pt had no past medical history. Other medications included birth control pills. At the time of this report, recovery status was unknown. Additional info was not provided.
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Diarrhoea, Intussusception, Irritability, Laboratory test abnormal, Pyrexia
Clinical narrative: Started 4/19/06 with vomiting after any feeding and had increased fussiness. This progressed to the point of not holding any formula and an intussusception was dx'd by a contrast enema on 4/21/06 and was reduced. 7/17/06 Received medical records from initial hospital for 2 dates: 4/20/06 seen for projectile vomiting & diarrhea for 2 days. Had been to PCP on 4/19 for same.  X-ray showed moderate dilation of colon.  KUB revealed ileus vs early mechanical obstruction.  Patient transferred for eval of intussception. 4/22/06 Patient was recalled to same ER for positive blood c/s which had been drawn in ER on 4/20.  Patient appeared well w/temp of 99.  CBC was WNL, blood c/s was repeated.  Given IM antibiotics & d/c to f/u with PCP following day.  Final blood c/s was no growth/ss 7/24/06 Received medical records from PCP which included D/C summary from both hospitals.  MD notes indicate patient was afebrile at time of vax w/vomiting & diarrhea.  Dx: gastroenteritis.  4/21/06 PCP had discussion with physician at 2nd hospital about reduction of intussception with air contrast enema./ss
Age: 0.18
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Vomiting
Clinical narrative: Started 4/19/06 with vomiting after any feeding and had increased fussiness. This progressed to the point of not holding any formula and an intussusception was dx'd by a contrast enema on 4/21/06 and was reduced. 7/17/06 Received medical records from initial hospital for 2 dates: 4/20/06 seen for projectile vomiting & diarrhea for 2 days. Had been to PCP on 4/19 for same.  X-ray showed moderate dilation of colon.  KUB revealed ileus vs early mechanical obstruction.  Patient transferred for eval of intussception. 4/22/06 Patient was recalled to same ER for positive blood c/s which had been drawn in ER on 4/20.  Patient appeared well w/temp of 99.  CBC was WNL, blood c/s was repeated.  Given IM antibiotics & d/c to f/u with PCP following day.  Final blood c/s was no growth/ss 7/24/06 Received medical records from PCP which included D/C summary from both hospitals.  MD notes indicate patient was afebrile at time of vax w/vomiting & diarrhea.  Dx: gastroenteritis.  4/21/06 PCP had discussion with physician at 2nd hospital about reduction of intussception with air contrast enema./ss
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Anaemia, Apnoea, Dysphagia, Guillain-Barre syndrome, Hypoaesthesia
Clinical narrative: One week after flu shot he developed numbness and tingling of extremities, developed weakness, respiratory failure/diagnosis of Guillain Barre made at another hospital. Pt hospitalized over one year at another hospital and still has residual weakness. Pt has not been back to our facility since Discharge summary states decubitus, apnea, PAT, anemia. msv Discharge summary states contracture, dysphagia, pain, thrombosis. msv. 60 day Follow-up Information 21-SEP-2006: I have had no further contact with patient.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Pain, Respiratory failure, Skin ulcer, Tachycardia paroxysmal, Tendinous contracture
Clinical narrative: One week after flu shot he developed numbness and tingling of extremities, developed weakness, respiratory failure/diagnosis of Guillain Barre made at another hospital. Pt hospitalized over one year at another hospital and still has residual weakness. Pt has not been back to our facility since Discharge summary states decubitus, apnea, PAT, anemia. msv Discharge summary states contracture, dysphagia, pain, thrombosis. msv. 60 day Follow-up Information 21-SEP-2006: I have had no further contact with patient.
Age: 63.0
Sex: M
Vaccine: FLU3
Symptoms: Thrombocythaemia
Clinical narrative: One week after flu shot he developed numbness and tingling of extremities, developed weakness, respiratory failure/diagnosis of Guillain Barre made at another hospital. Pt hospitalized over one year at another hospital and still has residual weakness. Pt has not been back to our facility since Discharge summary states decubitus, apnea, PAT, anemia. msv Discharge summary states contracture, dysphagia, pain, thrombosis. msv. 60 day Follow-up Information 21-SEP-2006: I have had no further contact with patient.
Age: 19.0
Sex: M
Vaccine: MNQ
Symptoms: Headache, Injection site erythema, Injection site mass, Malaise, Pyrexia
Clinical narrative: 6/1/06 approx 24 hrs after vaccine administered child c/o headache and not feeling well. 9:30PM child had 101 fever and felt knot under L arm. Knot very tender to touch. Ibuprofen given. Site of injection has 3x5" reddened, swollen area. 6/2/06 child woke up with swollen left side of chest under L arm. Mom continues to give Ibuprofen. Fever now 99. Mom to call Dr for evaluation.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site reaction
Clinical narrative: Local reaction to Dtap site L deltoid
Sex: U
Vaccine: HIBV, MMR, VARCEL
Symptoms: Rash vesicular, Viral infection
Clinical narrative: Broke out with chickenpox on 6/18/06
Age: 0.44
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Agitation, Screaming
Clinical narrative: Screaming, inconsolable X 24 hrs.
Age: 56.0
Sex: U
Vaccine: HEP, TYP
Symptoms: Anorexia, Asthenia, Chromaturia, Hepatitis, Pruritus
Clinical narrative: I had been taking an antibiotic (Biaxin XL) for 2 days because of a throat infection. I mentioned this to the nurse before she gave me a Hep-B shot and shed said that was no problem. I started to feel sick that afternoon and stopped taking the Biaxin XL. Two days after the shot, I became very weak, itchy, very dark urine, had no appetite, very sick. Lasted 10 days. Blood work revealed that I had hepatitis.
Age: 0.1
Sex: F
Vaccine: UNK
Symptoms: Coma, Cyanosis
Clinical narrative: Unresponsive X 2-5 min. with cyanosis which occurred 3 days after shots were given at 6 weeks old.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Apnoea, Injection site erythema, Injection site induration, Injection site pain, Injection site swelling
Clinical narrative: Local swelling, induration about 5cm, hot to touch and erythema. Pt complaint of pain and pruritus locally L deltoid. TX: Tylenol, home antics; contrast hot/cold application; apnea; reassurant.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site warmth, Pruritus
Clinical narrative: Local swelling, induration about 5cm, hot to touch and erythema. Pt complaint of pain and pruritus locally L deltoid. TX: Tylenol, home antics; contrast hot/cold application; apnea; reassurant.
Age: 9.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Feeling hot, Headache, Injection site erythema, Injection site swelling, Medication error
Clinical narrative: Left arm swelling/erythema/warmth/headache/temp 102 deg, onset 1 day after Dtap, left arm. Ice/ibuprofen prn.
Age: 9.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Pyrexia
Clinical narrative: Left arm swelling/erythema/warmth/headache/temp 102 deg, onset 1 day after Dtap, left arm. Ice/ibuprofen prn.
Age: 1.6
Sex: M
Vaccine: DTAP, HIBV, MMR, PNC, VARCEL
Symptoms: Injection site erythema, Injection site mass, Medication error
Clinical narrative: 6/22/06 Mother reported at Immun clinic today that pt had reaction from injection which was given 4/20/06. He had a large knot on left leg which was red for 2 1/2 wks and visible for 1 month. And can still feel a bump 2 months later. Had taken him to MD and told injection was given wrong.
Age: 1.18
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Rash vesicular, Skin ulcer
Clinical narrative: Had vesicular lesions < 50 on abdomen, groin. Pt had no fever prior to breakout.
Age: 1.0
Sex: M
Vaccine: HEPA, MMR, VARCEL
Symptoms: Diarrhoea, Pyrexia
Clinical narrative: Fever started 6/28; peaked at 103.7 night of 6/29; low grade 6/30; diarrhea started 6/30.
Age: 4.0
Sex: F
Vaccine: DTAPH, HEP
Symptoms: Feeling hot, Injection site swelling
Clinical narrative: Pt's mother reported she noticed pt's right arm was very swollen and warm to the touch. When she awoke this am. Pt is able to lift arm, good ROM, very large swelling, swelling extends beyond deltoid area below the elbow.
Age: 0.97
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Faeces pale, Injection site mass, Pyrexia, Vomiting
Clinical narrative: Two day after receiving vaccinations, pt developed minor fever, vomiting, mustard or curry colored stools and what appeared to be stiffness and guarding at the IZ sites.
Age: 1.66
Sex: M
Vaccine: DTAPHEPBIP, HIBV, MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Within 10 mins of receiving vaccine pt developed diffuse hives. Was assessed by MD at clinic who advised trip to ER. At ER x 5 hrs with IV and medication therapy. Also was given Benadryl PO by mother. Has recovered.
Sex: F
Vaccine: SMALL
Symptoms: Eczema, Unintended pregnancy
Clinical narrative: Pt found out a week later that she was pregnant. Also that she may have eczema after vaccination (23May06).
Age: 1.71
Sex: F
Vaccine: HBHEPB, PNC, TDAP
Symptoms: Unevaluable event
Clinical narrative: NONE
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patients grandmother reports that the patient suffered from: swelling, pain, redness and heat at injection site. Patient seen 4 days after immunization with some redness at injection site. No treatment rendered.
Age: 54.0
Sex: F
Vaccine: MMR, TDAP
Symptoms: Feeling hot, Hypokinesia, Myalgia, Pain
Clinical narrative: Complaining of muscle pain on right side of neck. Pain extends from back of jaw on right side of neck down to shoulder.  Also has a warm sensation on right side of neck in painful area. Pain worsens with movement of area.
Age: 6.0
Sex: M
Vaccine: VARCEL
Symptoms: Rash
Clinical narrative: HAS APPROXIMATELY 15 LESIONS ON TORSO, FEW ON CHIN AND LEFT ARM.
Age: 18.0
Sex: F
Vaccine: MNQ
Symptoms: Headache, Malaise, Musculoskeletal stiffness, Pyrexia
Clinical narrative: Headache, fever 103.6, stiff neck, malaise.
Age: 0.59
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Infantile spasms
Clinical narrative: Infantile seizures within 24 hrs. of DPT immunization. 07/17/2006-records received from Hospital: DC summary: DC DX: Infantile spasm; Seizure Disorder; Down's Syndrome. PMH: VSD, ASD and PDA. Present illness: experienced 2 seizure like events with stiffening of upper body, arms stiffen out and eyes kind of bulge.   This patient is clearly at increased risk for further epileptic seizures. If the question of seizure type persists, the patient would benefit from prolonged EEG monitoring to record her actual episodes. MRI of brain scheduled as an outpatient.
Age: 1.26
Sex: M
Vaccine: DTAP, HEPA, HIBV
Symptoms: Injection site erythema, Urticaria
Clinical narrative: PEDVAX HIB WAS ADMINISTERED INTO CHILDS R THIGH @ 1415 WHEN PT WAS FINISHED WITH APPOINTMENT AT AROUND 1440 STAFF NOTICED A WELT AND REDNESS AROUND THE AREA THE VACCINE WAS ADMINISTERED IN NURSE EXAMINED PATIENT DOCTOR CAME TO SEE PATIENT AND ORDERED TO ADMINISTER BENADRYL. PATIENT WAS SENT HOME WITH BENADRYL.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Asthenia, Facial palsy, Guillain-Barre syndrome, Hypoaesthesia, Laboratory test abnormal
Clinical narrative: Hospitalized 3 days at the end of June with tingling and numbness of both lower extremities. Readmitted two days later with increased weakness and tingling of both lower extremities, as well as facial palsy. Diagnosed with Guillain Barre and underwent a total of 5 plasma exchanges. Patient improved and was discharged after final plasma exchange.
Age: 19.0
Sex: M
Vaccine: MEN
Symptoms: Paraesthesia
Clinical narrative: Hospitalized 3 days at the end of June with tingling and numbness of both lower extremities. Readmitted two days later with increased weakness and tingling of both lower extremities, as well as facial palsy. Diagnosed with Guillain Barre and underwent a total of 5 plasma exchanges. Patient improved and was discharged after final plasma exchange.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Movement disorder, Tenderness
Clinical narrative: + swelling, + tenderness, + warmth + redness, decreased range of motion of affected arm. Pt's left arm had to be put on a sling because of significant swelling and was treated with Cephalexin and ibuprofen, Benadryl and icepack. Symptoms resolved after 2 wks.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Agitation, Crying, Irritability, Somnolence
Clinical narrative: Irritability, fussy, crying, sleeping
Age: 3.0
Sex: M
Vaccine: DTAP, IPV, MMR, PNC
Symptoms: Injection site warmth, Urticaria
Clinical narrative: Patient was given 4 immunizations at approximately 3:07 pm.  Five minutes later the mother brought the child back into my office and the child had hives around the Dtap injection site and down his arm to his back.  The area was warm to the touch. He was crying because he thought he was coming back in for more shots.  After he was calmed down his vital signs were normal. Dr. of pediatrics was called by the nurse practitioner and he stated it was a non-specific reaction to the vaccine and to give him oral Benadryl 2 tsps none and then 1 tsp daily until resolved. He also stated that the child should receive vaccines in the future as indicated.  The child was alert and no apparent distress when they left my office.
Age: 18.0
Sex: M
Vaccine: TDAP
Symptoms: Asthenia, Fatigue, Lethargy, Listless
Clinical narrative: 12 hours after administration mom called.  the patient was on the floor " too weak to move" felt terrible listless, proufoundly fatigued.  no paralysis, but lethargic, weak.  he was not confused, just too fatigued to get up.  Symptoms resolved in 12 hours  (24 hours after administration).  They were advised to go to the ER  but they did not he resolved wit hno treatment or testing.
Age: 33.0
Sex: F
Vaccine: HEP, MMR, TDAP
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site warmth, Rash
Clinical narrative: 07/09/06 - Patient noticed tenderness & redness to left bicept/tricept. Took Motrin for discomfort. 07/10/06 - Patient states she woke up with her left arm in pain and with a rash. Patient arrived at clinic at 0800. Patient complains of increasing rash size, warmth, and tenderness of left arm. Rash over left tricept appears as papules in a narrow "S" pattern surrounded by a warm pink rash in an oval shape that measures five cm wide by eight cm in length. Rash over left bicept area with moderate erythema and warmth with moderate tenderness upon palpitation. Rash on left bicept is rectangular in shape and measures eight cm in length across from inner to outer aspect of bicept area by five cm from mid bicept and downward toward the elbow. Patient has full range of motion, but is slow and guarded with movement related to tenderness of left upper extremity. Capillary refill time is less than two seconds above and below rashes including left capillary nailbeds. Pulse at left brachial and radial arteries are three plus. Patient seen by Nurse Practitioner. Rocephin 250 mg IM given. Prescription given by N.P. for Keflex 500 mg QID #40, VAERS, and referral to another clinic. Diagnosis per FNP, R/O cellulitis. Plan - return to clinic for follow-up and evaluation.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR, TTOX
Symptoms: Contusion, Erythema, Injection site induration, Injection site swelling, Oedema peripheral
Clinical narrative: 24 hours after vaccination began to notice swelling, induration, increased temp. in right upper arm, turned red and purple. Swelling extended to right elbow and right axilla. Painful to the touch. Total increase in girth of arm measured at mid-biceps was +5cm. This lasted until approx. 48 hours after vaccine was given. We went to a clinic where he was examined and given an RX for Triamcinalone ointment and Keflex tid x 7days. Advised to keep him out of the sun and apply cold compress.
Age: 5.0
Sex: M
Vaccine: DTAP, HEP, MMR, TTOX
Symptoms: Pyrexia
Clinical narrative: 24 hours after vaccination began to notice swelling, induration, increased temp. in right upper arm, turned red and purple. Swelling extended to right elbow and right axilla. Painful to the touch. Total increase in girth of arm measured at mid-biceps was +5cm. This lasted until approx. 48 hours after vaccine was given. We went to a clinic where he was examined and given an RX for Triamcinalone ointment and Keflex tid x 7days. Advised to keep him out of the sun and apply cold compress.
Age: 38.0
Sex: F
Vaccine: HEPAB
Symptoms: Nausea, Pain, Pyrexia, Rash, Vision blurred
Clinical narrative: About 3 hrs after vaccine had tigned of legs and rash on both legs with pain. Took Benadryl but did not work. Took water pill Friday night seen PA. Had fever, nausea and pain in legs. Traveled overseas. PA give Predisone Saturday for 2 1/2 days total of 12 pills. Had trouble with vision July 1st (blurry). Seen Dr. for eyes 07/10/2006.
Age: 25.0
Sex: F
Vaccine: VARCEL
Symptoms: Malaise, Rash, Viral infection
Clinical narrative: Pt. stated did not feel well a few days after vaccination, no fever, 8 days after vaccination broke out in a rash all over face, chest & arms. She went to the Doctor and he placed her on medication for 7 days and told her she had chickenpox. Name of medication unknown.
Age: 0.33
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Apnoea, Convulsion
Clinical narrative: Seizures Medical record states apnea. msv
Age: 17.0
Sex: M
Vaccine: HEPA
Symptoms: Contusion
Clinical narrative: Patient developed multiple large purple "bruise-like" spots (not at injection site) on bilateral shoulders/back four days after receipt of Hepatitis A vaccine per mother's report.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site swelling
Clinical narrative: SWOLLEN LEFT THIGH WHERE DTaP WAS GIVEN.
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Erythema multiforme, Laboratory test abnormal, Leukopenia, Pyrexia, Rash papular
Clinical narrative: Fever; skin rash (erythema multiforme). DX: Stevens-Johnson syndrome7/20/06 Received medical records from reporter/provider which reveal that patient was in good health when received vax.8/3/06 Records received from hospital which reveal patient admitted 7/6/06.  D/C summary reveals final diagnosis of Stevens-Johnson Syndrome related to Td Vax.  Temp 104.7 on admit w/lesions on face, tongue, eyes w/brawny papular rash w/urticaria & then extended over the trunk & spotty areas on arms & legs.Atmitted to ICU & eval by ophthalmology, surgery ID & dermatology.  Tx w/steroids both IV & PO.  Gradually improved & was d/c home on 7/16/06 on tapering steroids./ss
Age: 35.0
Sex: F
Vaccine: TD
Symptoms: Stevens-Johnson syndrome, Urticaria
Clinical narrative: Fever; skin rash (erythema multiforme). DX: Stevens-Johnson syndrome7/20/06 Received medical records from reporter/provider which reveal that patient was in good health when received vax.8/3/06 Records received from hospital which reveal patient admitted 7/6/06.  D/C summary reveals final diagnosis of Stevens-Johnson Syndrome related to Td Vax.  Temp 104.7 on admit w/lesions on face, tongue, eyes w/brawny papular rash w/urticaria & then extended over the trunk & spotty areas on arms & legs.Atmitted to ICU & eval by ophthalmology, surgery ID & dermatology.  Tx w/steroids both IV & PO.  Gradually improved & was d/c home on 7/16/06 on tapering steroids./ss
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Blood creatine phosphokinase increased, Decreased appetite, Dehydration, Myositis, Pain
Clinical narrative: Acute myositis of lower extremities; pain and swelling. CPK up to 15,000 07/18/06-records received from Lakeland Regional Med Ctr. DC DX: Myositis             Poor p.o             Dehydration             Reactive airway disease Presented to hospital with viral type symptoms began 6/5/06 and 24 hours prior to admission c/o severe leg pain with inability to stand and fever. Presented to ED. Admitted. Hospital Course: IV fluids, Motrin, morphine, Tylenol with Codeine, CPK monitored. Coughing with some wheezing. PMH: HX of reactive airway disease. Hospitalized with gastroenteritis DC Meds: Albuterol RX, Motrin, Tylenol with Codeine.