chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Dry skin, Feeling hot, Groin pain, Skin warm
Clinical narrative: Child told parent as he left the building that his penis hurt. Parent took child to the local DQ. There he noticed that the child was warm when child said he felt warm. He wasn't flushed. Parent did not touch him. Parent brought child back to PH in 45 minutes. Child said penis continued to hurt. Skin warm/dry.
Age: 1.6
Sex: F
Vaccine: DTAP, HIBV
Symptoms: Erythema, Pruritus, Swelling
Clinical narrative: Local swelling and redness 3" area, non-tender, itchy.
Age: 16.0
Sex: F
Vaccine: HEP, HEPA
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Right arm paresthesias. Right thumb numbness. Started day after immunizations.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Swelling, Tenderness
Clinical narrative: Injection site red , is tender to touch, area swelling to 6-7 cm diameter. Pt given Keflex 250 mg.
Age: 1.2
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Swelling
Clinical narrative: Light thigh slight red swollen 10cmx6
Age: 6.0
Sex: M
Vaccine: DTAP, HEPA, IPV
Symptoms: Injection site swelling, Pruritus
Clinical narrative: On Friday evening , pt had "bad swollen right arm of injection site" , itching. Was seen in ER 5ml Prelone x 3 doses and Benadryl
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Erythema, Feeling hot, Hypersensitivity, Injection site induration, Pruritus
Clinical narrative: On Friday evening, pt had "really swollen arm, really warm to touch, red and hard. Complained of itching at injection site. Was seen in ER: 3 ml Prelone x 3 doses, Benadryl
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Swelling
Clinical narrative: On Friday evening, pt had "really swollen arm, really warm to touch, red and hard. Complained of itching at injection site. Was seen in ER: 3 ml Prelone x 3 doses, Benadryl
Age: 0.3
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC
Symptoms: Screaming
Clinical narrative: Incessant crying for 12 hours.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Discomfort, Erythema, Injection site reaction, Injection site swelling, Swelling
Clinical narrative: Pt complained of redness with slight swelling from shoulder to elbow, on left upper arm, site of DTaP. Noted this AM, after playing outside. Denies fever but is slightly uncomfortable: Treating with Tylenol PRN. Is getting better with movement.
Sex: U
Vaccine: MMR, VARCEL
Symptoms: Blister, Rash, Rash macular
Clinical narrative: Rash, macule, vesicle x2.
Sex: F
Vaccine: TD
Symptoms: Feeling hot, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth
Clinical narrative: 24 hours after injection. Warmth, induration, erythema, pain at injection site around 8 cm. Myalgia, tactile fever. Treated with Ibuprofen, ice. 8/13/04: sx improved.
Sex: F
Vaccine: TD
Symptoms: Myalgia
Clinical narrative: 24 hours after injection. Warmth, induration, erythema, pain at injection site around 8 cm. Myalgia, tactile fever. Treated with Ibuprofen, ice. 8/13/04: sx improved.
Age: 58.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Injection site pain, Pruritus
Clinical narrative: Redness, itching , pain around injection site. Sxs began around 7 hours after vaccine was administered. Tylenol and 1% hydrocortisone cream (along with ice 15 min 2 times a day ) to injection site.
Age: 0.6
Sex: M
Vaccine: DTAPHEPBIP, HIBV
Symptoms: Rash
Clinical narrative: Diffused rash
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Urticaria
Clinical narrative: hives entire day
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Muscle spasms, Myalgia, Pain
Clinical narrative: The day of immunization, late afternoon, pt experience swelling, redness (bright red), itchiness at site of injection and extended from shoulder to arm. Suffered of excruciating pain all night long so couldn't sleep that first night. Also complained of pain and cramps on thighs. Second day swelling, itchiness subsided, used hydrocortisone for itching and initial redness. Is now fine.
Age: 80.0
Sex: M
Vaccine: PPV
Symptoms: Pruritus
Clinical narrative: The day of immunization, late afternoon, pt experience swelling, redness (bright red), itchiness at site of injection and extended from shoulder to arm. Suffered of excruciating pain all night long so couldn't sleep that first night. Also complained of pain and cramps on thighs. Second day swelling, itchiness subsided, used hydrocortisone for itching and initial redness. Is now fine.
Age: 1.0
Sex: M
Vaccine: MMR, PNC, VARCEL
Symptoms: Urticaria
Clinical narrative: Generalized urticaria (hives) about 15 min after immunizations. No other sxs. Treated with Epinephrine SC and Benadryl oral . Resolved.
Age: 0.5
Sex: M
Vaccine: DTAP, HIBV, PNC
Symptoms: Erythema, Feeling hot, Pyrexia, Rash erythematous
Clinical narrative: Temp 102. Red rash QL LE BK LLE, red hot on RAT. Where Hib given. at 7AM on 8/20/04.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Erythema, Injection site mass, Skin exfoliation, Tenderness
Clinical narrative: Mom noticed red knot on child's right arm when giving bath. Arm increased in redness and tenderness and area on arm red, flaking skin. No fever.
Age: 19.0
Sex: M
Vaccine: ANTH, SMALL
Symptoms: Skin ulcer, Vaccination complication, Viral infection
Clinical narrative: Patient immunized with Smallpox vaccination on 9 July 04 on left arm and returned on 24 Jul 04 stating that he had developed a pustule on his right 3rd finger (DIP).
Age: 21.0
Sex: M
Vaccine: ANTH, YF
Symptoms: Diarrhoea, Myalgia, Nausea, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea, myalgias
Age: 25.0
Sex: F
Vaccine: ANTH
Symptoms: Erythema, Injection site rash, Urticaria
Clinical narrative: Anthrax #1 on Aug 3 - no reaction; Smallpox on Aug 13 - no reaction; Anthrax #2 on Aug 17. ER visit on 8/21/04. developed rash starting at the injection site - 10 cm of erythema with difuse urticaral rash on trunk, arms, legs and lips.  treating with Atarax and Doxepin.
Age: 54.0
Sex: M
Vaccine: TD
Symptoms: Cellulitis, Injection site erythema, Injection site swelling, Petechiae, Rash pruritic
Clinical narrative: Erythematous, edematous area 10-12 cm diamter at injection site.  Some associated cellulite changes.  Diffuse erythematous, prurlic rash on trunk.  Petechial rash on bilateral lower extrematies.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: L upper arm red and swollen 5 cm erythema Warm to touch Began on 8/3 and lasted until 8/6/04 Rx Zrytec 10mg 1 daily for 3 days
Age: 43.0
Sex: F
Vaccine: MMR
Symptoms: Arthralgia, Rash pruritic
Clinical narrative: extremely itchy rash, which began in the trunk of the body and spread to my entire body within a couple of days after appearing. Severe joint pain in knees, and wrists and fingers. All of these symptoms began about a week after the dose of MMR, which was administered on August 5, 2005
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Chest discomfort, Erythema, Fatigue, Injection site hypersensitivity, Injection site oedema
Clinical narrative: Primary smallpox vaccinee;received SPV on 8/6/03. On Day 10, awoke with chest tightness in center of chest with inhalation; rated pain as level 4/10 on pain scale of 0-10; pain resolved spontaneously after about 15 minutes.  On day 11, noted erythema, mild swelling under tape adhesive. Temp 101.8. Complained of fatigue, and night sweats. Evaluated by doctor on 8/18/04, who noted left axillary lymphadenopathy and 3x3" area of well-defined, erythematous, edematous area at vaccine site; (+) vesicle and numerous small satellite lesions. "Robust take" Placed on quarters x 24 hours. Started Allegra 180mg daily and Motrin 800mg 3x/day.  Called patient on 8/24/04. No recurrence of CP. Fever, fatigue and local reaction  have resolved.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Injection site vesicles, Lymphadenopathy, Night sweats, Pain, Pyrexia
Clinical narrative: Primary smallpox vaccinee;received SPV on 8/6/03. On Day 10, awoke with chest tightness in center of chest with inhalation; rated pain as level 4/10 on pain scale of 0-10; pain resolved spontaneously after about 15 minutes.  On day 11, noted erythema, mild swelling under tape adhesive. Temp 101.8. Complained of fatigue, and night sweats. Evaluated by doctor on 8/18/04, who noted left axillary lymphadenopathy and 3x3" area of well-defined, erythematous, edematous area at vaccine site; (+) vesicle and numerous small satellite lesions. "Robust take" Placed on quarters x 24 hours. Started Allegra 180mg daily and Motrin 800mg 3x/day.  Called patient on 8/24/04. No recurrence of CP. Fever, fatigue and local reaction  have resolved.
Age: 20.0
Sex: M
Vaccine: SMALL
Symptoms: Swelling, Vaccination complication
Clinical narrative: Primary smallpox vaccinee;received SPV on 8/6/03. On Day 10, awoke with chest tightness in center of chest with inhalation; rated pain as level 4/10 on pain scale of 0-10; pain resolved spontaneously after about 15 minutes.  On day 11, noted erythema, mild swelling under tape adhesive. Temp 101.8. Complained of fatigue, and night sweats. Evaluated by doctor on 8/18/04, who noted left axillary lymphadenopathy and 3x3" area of well-defined, erythematous, edematous area at vaccine site; (+) vesicle and numerous small satellite lesions. "Robust take" Placed on quarters x 24 hours. Started Allegra 180mg daily and Motrin 800mg 3x/day.  Called patient on 8/24/04. No recurrence of CP. Fever, fatigue and local reaction  have resolved.
Age: 4.0
Sex: F
Vaccine: UNK
Symptoms: Pyrexia, Rash pustular
Clinical narrative: Patient took the vaccine on Friday, began running a temp on Friday evening, Saturday and Sunday ran a temp of 100-101 degrees. Broke out into spots in her hair then two pustules in her labia area. She said at this time they do not itch. She called me on Monday. I told her she should not be at work.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR, VARCEL
Symptoms: Eye swelling, Pyrexia, Rash
Clinical narrative: Vaccines given on 8/17/04. Came to clinic  8/18/04 with Pink rash on neck & small bumps in mouth. Swollen eyes. Had fever night before. (Temp.not taken by parent)Temp.98.7 @ 10 AM on 8/18/04 Dr. gave Benadryl 12.5 mg P.O.& Amoxicillin 400mg. bid x 10 days.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Patient received vaccine on Friday morning and began running a fever that night. She developed a temp of 100 to 101 degrees Saturday and Sunday and developed some spots Monday in her hair and some in her labia. She said they didn't itch right now. She called me Monday morning. I told her she should not be at work while she was running a fever or until her spots crusted over.
Age: 10.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Fever to 101
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: DTAP given in left deltoid on 08/16/2004. Pt was seen on 08/19/2004 with a red,warm, swollen left arm almost twice the size of the right arm. No fever.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash
Clinical narrative: This is a 52-year-old male who received Anthrax #1 on June 12, 2003. The following day he awoke and found that he had a reddened jagged line from his hairline to the corner of his eye then down the face to the chin. He reports that the line was approximately 1/16 of an inch in width. His initial thought was that the root canal he had two weeks prior had become infected despite seven days of antibiotic use (completed one-week prior to his anthrax vaccination). He reports that there was no swelling, pain, blistering, weeping, numbness or itching associated with this red line. He denies any oral ulcers, mouth sores or any history of the same. Over the next few months he noted that the line moved slowly toward his nose. After his 2nd anthrax vaccination on September 12, 2003, there was an area about the left side of his mouth that began to swell with clear-purulent drainage over several days. This reddened line migrated to the left side of his nose following anthrax #3 on November 1, 2003. He reports that as the line migrated towards the left side of the face, the right side would resolve. He reports that the skin was dry and flaky. He self-treated the purulent areas with Neosporin and used moisturizers on the dry areas.   He went to physician for the first time on March 29, 2004. When the doctor initially saw him and his BP was 199/112. He went to see his family practice physician, where his BP was 161/83 and 150/78. He was placed on HCTZ 50 mg daily and Diltiazem 240 mg daily with Simvastatin 20 mg daily for high cholesterol. Doctor stated that he initially thought he had shingles but later stated that was not the case.  Bactroban cream 2% with 1% hydrocortisone cream was prescribed three times a day for his facial rash. The areas involved at this time include the area over his upper left lip, the bridge of his nose and a couple of areas on his forehead. Some of the purulent areas were approximately the "size of the end of his finger". He also reports that his left nostril was inflamed and the redness extended inside the left nostril. He was referred to the VHC.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Abscess, Dry skin, Erythema, Injection site inflammation, Skin striae
Clinical narrative: This is a 52-year-old male who received Anthrax #1 on June 12, 2003. The following day he awoke and found that he had a reddened jagged line from his hairline to the corner of his eye then down the face to the chin. He reports that the line was approximately 1/16 of an inch in width. His initial thought was that the root canal he had two weeks prior had become infected despite seven days of antibiotic use (completed one-week prior to his anthrax vaccination). He reports that there was no swelling, pain, blistering, weeping, numbness or itching associated with this red line. He denies any oral ulcers, mouth sores or any history of the same. Over the next few months he noted that the line moved slowly toward his nose. After his 2nd anthrax vaccination on September 12, 2003, there was an area about the left side of his mouth that began to swell with clear-purulent drainage over several days. This reddened line migrated to the left side of his nose following anthrax #3 on November 1, 2003. He reports that as the line migrated towards the left side of the face, the right side would resolve. He reports that the skin was dry and flaky. He self-treated the purulent areas with Neosporin and used moisturizers on the dry areas.   He went to physician for the first time on March 29, 2004. When the doctor initially saw him and his BP was 199/112. He went to see his family practice physician, where his BP was 161/83 and 150/78. He was placed on HCTZ 50 mg daily and Diltiazem 240 mg daily with Simvastatin 20 mg daily for high cholesterol. Doctor stated that he initially thought he had shingles but later stated that was not the case.  Bactroban cream 2% with 1% hydrocortisone cream was prescribed three times a day for his facial rash. The areas involved at this time include the area over his upper left lip, the bridge of his nose and a couple of areas on his forehead. Some of the purulent areas were approximately the "size of the end of his finger". He also reports that his left nostril was inflamed and the redness extended inside the left nostril. He was referred to the VHC.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Swelling
Clinical narrative: This is a 52-year-old male who received Anthrax #1 on June 12, 2003. The following day he awoke and found that he had a reddened jagged line from his hairline to the corner of his eye then down the face to the chin. He reports that the line was approximately 1/16 of an inch in width. His initial thought was that the root canal he had two weeks prior had become infected despite seven days of antibiotic use (completed one-week prior to his anthrax vaccination). He reports that there was no swelling, pain, blistering, weeping, numbness or itching associated with this red line. He denies any oral ulcers, mouth sores or any history of the same. Over the next few months he noted that the line moved slowly toward his nose. After his 2nd anthrax vaccination on September 12, 2003, there was an area about the left side of his mouth that began to swell with clear-purulent drainage over several days. This reddened line migrated to the left side of his nose following anthrax #3 on November 1, 2003. He reports that as the line migrated towards the left side of the face, the right side would resolve. He reports that the skin was dry and flaky. He self-treated the purulent areas with Neosporin and used moisturizers on the dry areas.   He went to physician for the first time on March 29, 2004. When the doctor initially saw him and his BP was 199/112. He went to see his family practice physician, where his BP was 161/83 and 150/78. He was placed on HCTZ 50 mg daily and Diltiazem 240 mg daily with Simvastatin 20 mg daily for high cholesterol. Doctor stated that he initially thought he had shingles but later stated that was not the case.  Bactroban cream 2% with 1% hydrocortisone cream was prescribed three times a day for his facial rash. The areas involved at this time include the area over his upper left lip, the bridge of his nose and a couple of areas on his forehead. Some of the purulent areas were approximately the "size of the end of his finger". He also reports that his left nostril was inflamed and the redness extended inside the left nostril. He was referred to the VHC.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Blood pressure increased, Dry skin, Eczema, Erythema, Periorbital oedema
Clinical narrative: This is a 52-year-old male who received Anthrax #1 on June 12, 2003. The following day he awoke and found that he had a reddened jagged line from his hairline to the corner of his eye then down the face to the chin. He reports that the line was approximately 1/16 of an inch in width. His initial thought was that the root canal he had two weeks prior had become infected despite seven days of antibiotic use (completed one-week prior to his anthrax vaccination). He reports that there was no swelling, pain, blistering, weeping, numbness or itching associated with this red line. He denies any oral ulcers, mouth sores or any history of the same. Over the next few months he noted that the line moved slowly toward his nose. After his 2nd anthrax vaccination on September 12, 2003, there was an area about the left side of his mouth that began to swell with clear-purulent drainage over several days. This reddened line migrated to the left side of his nose following anthrax #3 on November 1, 2003. He reports that as the line migrated towards the left side of the face, the right side would resolve. He reports that the skin was dry and flaky. He self-treated the purulent areas with Neosporin and used moisturizers on the dry areas.   He went to physician for the first time on March 29, 2004. When the doctor initially saw him and his BP was 199/112. He went to see his family practice physician, where his BP was 161/83 and 150/78. He was placed on HCTZ 50 mg daily and Diltiazem 240 mg daily with Simvastatin 20 mg daily for high cholesterol. Doctor stated that he initially thought he had shingles but later stated that was not the case.  Bactroban cream 2% with 1% hydrocortisone cream was prescribed three times a day for his facial rash. The areas involved at this time include the area over his upper left lip, the bridge of his nose and a couple of areas on his forehead. Some of the purulent areas were approximately the "size of the end of his finger". He also reports that his left nostril was inflamed and the redness extended inside the left nostril. He was referred to the VHC.
Age: 52.0
Sex: M
Vaccine: ANTH, ANTH, ANTH
Symptoms: Rash, Skin exfoliation, Skin striae, Swelling
Clinical narrative: This is a 52-year-old male who received Anthrax #1 on June 12, 2003. The following day he awoke and found that he had a reddened jagged line from his hairline to the corner of his eye then down the face to the chin. He reports that the line was approximately 1/16 of an inch in width. His initial thought was that the root canal he had two weeks prior had become infected despite seven days of antibiotic use (completed one-week prior to his anthrax vaccination). He reports that there was no swelling, pain, blistering, weeping, numbness or itching associated with this red line. He denies any oral ulcers, mouth sores or any history of the same. Over the next few months he noted that the line moved slowly toward his nose. After his 2nd anthrax vaccination on September 12, 2003, there was an area about the left side of his mouth that began to swell with clear-purulent drainage over several days. This reddened line migrated to the left side of his nose following anthrax #3 on November 1, 2003. He reports that as the line migrated towards the left side of the face, the right side would resolve. He reports that the skin was dry and flaky. He self-treated the purulent areas with Neosporin and used moisturizers on the dry areas.   He went to physician for the first time on March 29, 2004. When the doctor initially saw him and his BP was 199/112. He went to see his family practice physician, where his BP was 161/83 and 150/78. He was placed on HCTZ 50 mg daily and Diltiazem 240 mg daily with Simvastatin 20 mg daily for high cholesterol. Doctor stated that he initially thought he had shingles but later stated that was not the case.  Bactroban cream 2% with 1% hydrocortisone cream was prescribed three times a day for his facial rash. The areas involved at this time include the area over his upper left lip, the bridge of his nose and a couple of areas on his forehead. Some of the purulent areas were approximately the "size of the end of his finger". He also reports that his left nostril was inflamed and the redness extended inside the left nostril. He was referred to the VHC.
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Dizziness, Dyspnoea
Clinical narrative: 10:35 short of breath, hard time breathing. Very dizzy 8/12/04. Same symptoms 8/13. 8/18/04 - 8/19/204. Both arms hard and sore as if had strained muscles. Headache 8/18 till present. Still short of breath. No office visit. Family doctor said to take Benadryl.
Age: 61.0
Sex: F
Vaccine: TD, TD
Symptoms: Dyspnoea, Headache, Injection site induration, Tenderness
Clinical narrative: 10:35 short of breath, hard time breathing. Very dizzy 8/12/04. Same symptoms 8/13. 8/18/04 - 8/19/204. Both arms hard and sore as if had strained muscles. Headache 8/18 till present. Still short of breath. No office visit. Family doctor said to take Benadryl.
Age: 26.0
Sex: M
Vaccine: ANTH
Symptoms: Pyrexia
Clinical narrative: PATIENT WITH SUBJECTIVE FEVER; DURING A MISSION TYPE IN WHICH HE HAD PREVIOUSLY PARTICIPATED, WELL ACCLIMATIZED AT BASELINE. SUBJECTIVE FEVER LASTED UNTIL EVENING TIME
Age: 5.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 10cmx8 cm red/tender/warm area on Rt thigh were shots were given
Age: 1.85
Sex: F
Vaccine: HIBV
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Had febrile seizure a few hours after vaccination (Temp 105), hospitalized at hospital.
Age: 28.0
Sex: M
Vaccine: MEN, TD, TYP
Symptoms: Asthenia, CSF test abnormal, Headache, Laboratory test abnormal, Meningitis
Clinical narrative: Four days after below vaccinations, patient developed frontal headache, fever, photosensitivity, neck stiffness, emesis (x3). Fifth day, patient hospitalized for 3 days. Patient treated with empiric antibiotics and discharged much improved. Discharge summary states weakness. msv  Follow up on 08/27/04 states: "Discharge diagnosis: Viral meningitis; Remote history of dengue fever in 2002; Status post appendectomy.  This 28 year old man presented with 24 hours of frontal headache, fever, photosensitivity, neck stiffness and emesis x3, without history of abdominal pain, diarrhea arthralgias or tick bite. He had a blood pressure of 106/57, pulse 79, respiratory rate 16, temperature 100.4, 100% saturation on room air, and appeared as a well-developed, well-nourished man, in somewhat distress from a headache, better after taking morphine. He had slight neck stiffness, no adenopathy, thyromegaly.  Chest was clear to auscultation and percussion. Cardiac examination was normal. Abdomen was normal to palpation, no masses, no rash, and neurologically was intact. Sodium was 139, potassium 3.6, chloride 104, CO2 28, BUN 10, creatinine 0.9, glucose 106. The white count was 13, hematocrit 45, platelet count 194,000. The CSF was clear, with a protein of 59, a glucose of 56, and a CSF cell count of 750 with 3 RBCs, 70% neutrophils, 10% lymphocytes, and 20% monocytes. CSF antigens were negative for H.flu, Strep pneumoniae, group B strep, and he was empirically placed on vancomycin, ceftriaxone and doxycycline and infectoius diseases consulation was obtained. Antibiotics were continued while serologies for Arbovirus and West nile virus were ordered, and a Rocky Mountain spotted fever antibody was less than 1:16 and therefore, was considered negative. Blood cultures were negative. Chest x-ray was negative. PPD was negative at 48 hours. AST was 20. White count 11.8 with 142,000 platelets. Malaria smears were negative. The pt persisted in having some headache, particularly upon standing, but this was not classic for post spinal tap headache. He remained afebrile through the latter part of his hospital course. Subsequent white count was 10.9. Coagulation panel was negative except a PT of 11.9. He did not that his pain responded to morphine and Toradol, and on the day of discharge his vancomycin and Rocephin were discontinued as CSF cultures were negative and he was given a prescription for Percocet and instructions to follow up with MD in approximately 1 week of time.  The pt was discharged in much improved condition, as noted above."  Nurse follow up on 09/15/04 states: "viral meningitis."
Age: 28.0
Sex: M
Vaccine: MEN, TD, TYP
Symptoms: Musculoskeletal stiffness, Photosensitivity reaction, Pyrexia, Viral infection, Vomiting
Clinical narrative: Four days after below vaccinations, patient developed frontal headache, fever, photosensitivity, neck stiffness, emesis (x3). Fifth day, patient hospitalized for 3 days. Patient treated with empiric antibiotics and discharged much improved. Discharge summary states weakness. msv  Follow up on 08/27/04 states: "Discharge diagnosis: Viral meningitis; Remote history of dengue fever in 2002; Status post appendectomy.  This 28 year old man presented with 24 hours of frontal headache, fever, photosensitivity, neck stiffness and emesis x3, without history of abdominal pain, diarrhea arthralgias or tick bite. He had a blood pressure of 106/57, pulse 79, respiratory rate 16, temperature 100.4, 100% saturation on room air, and appeared as a well-developed, well-nourished man, in somewhat distress from a headache, better after taking morphine. He had slight neck stiffness, no adenopathy, thyromegaly.  Chest was clear to auscultation and percussion. Cardiac examination was normal. Abdomen was normal to palpation, no masses, no rash, and neurologically was intact. Sodium was 139, potassium 3.6, chloride 104, CO2 28, BUN 10, creatinine 0.9, glucose 106. The white count was 13, hematocrit 45, platelet count 194,000. The CSF was clear, with a protein of 59, a glucose of 56, and a CSF cell count of 750 with 3 RBCs, 70% neutrophils, 10% lymphocytes, and 20% monocytes. CSF antigens were negative for H.flu, Strep pneumoniae, group B strep, and he was empirically placed on vancomycin, ceftriaxone and doxycycline and infectoius diseases consulation was obtained. Antibiotics were continued while serologies for Arbovirus and West nile virus were ordered, and a Rocky Mountain spotted fever antibody was less than 1:16 and therefore, was considered negative. Blood cultures were negative. Chest x-ray was negative. PPD was negative at 48 hours. AST was 20. White count 11.8 with 142,000 platelets. Malaria smears were negative. The pt persisted in having some headache, particularly upon standing, but this was not classic for post spinal tap headache. He remained afebrile through the latter part of his hospital course. Subsequent white count was 10.9. Coagulation panel was negative except a PT of 11.9. He did not that his pain responded to morphine and Toradol, and on the day of discharge his vancomycin and Rocephin were discontinued as CSF cultures were negative and he was given a prescription for Percocet and instructions to follow up with MD in approximately 1 week of time.  The pt was discharged in much improved condition, as noted above."  Nurse follow up on 09/15/04 states: "viral meningitis."
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Anaphylactic reaction, Face oedema, Tachycardia, Urticaria, Vomiting
Clinical narrative: Anaphylaxis. Face swelling, hives, vomiting; given epinephrine 0.1 mg SC and Benadryl 22mg IM. Medical Record received on 12/02/2004 states rapid pulse.
Age: 1.08
Sex: F
Vaccine: HIBV, VARCEL
Symptoms: Viral infection
Clinical narrative: She had rubella measles, lasted 7 days. She had some very dangerous and bad spells during this period of time. Follow up: not seen by physician. Diagnosis is mother's.
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Erythema, Injection site induration, Swelling
Clinical narrative: Left thigh red, swollen, firm. Treated with Ibuprofen and Benadryl
Age: 3.0
Sex: M
Vaccine: DTAP, DTAP
Symptoms: Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Left thigh red, swollen, firm. Treated with Ibuprofen and Benadryl
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Arthralgia, Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Noted redness/swelling at injection site. Pt complained of tenderness/joint discomfort in shoulder.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Redness and swelling at right arm at site of DTaP and IPV vaccination.
Age: 4.0
Sex: F
Vaccine: DTAP, HEP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Swelling and redness at site. Heat & ibuprofen.
Sex: U
Vaccine: HEP
Symptoms: Drug ineffective
Clinical narrative: 3 reports of "no response" after primary Engerix B series. Staff ages and sex: Male: 39; Male: 52; Female: 43;
Age: 5.0
Sex: F
Vaccine: DTAP, IPV
Symptoms: Injection site erythema, Rash pruritic
Clinical narrative: Local 6x11cm erythematous, pruritic rash developed starting 3 hours after vaccination. IPV site was at center of rash; DTaP site was only at upper margin.
Age: 4.0
Sex: F
Vaccine: DTAP, HEPA, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Pyrexia
Clinical narrative: On last night 07/22/04, had T-103, mom used Tylenol. Only came down to 101. Left deltoid area-swollen, red, extending from shoulder area to down top of left arm (-below elbow area).  Mom to take the child to private MD or ER.
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Rash macular, Rash morbilliform, Rash papular
Clinical narrative: Diffuse morbilliform rash on torso - prox. extremities. Maculopapular, erythematous. After 7 days persisting until secondary impetigenization.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Asthenia, Convulsion, Eye movement disorder, Fatigue, Headache
Clinical narrative: Phone call from pt on 07/14/04. Was seen in our Family Planning Medical Clinic the day before and received her 3rd HBV (the 1st of the adult formulation). Felt tired when she left the clinic about 14:30 or 15:00. Went home and had lunch. Went over to visit friends and chatted outside in the sun. Felt hot and went to porch to continue visit, felt weak and "passed out and seizured". This occurred about 18:30. Friends put her into their truck and were driving to the hospital when her eyes rolled back and she started to have more seizure activity. They became apprehensive and called 911 for assistance. Remembers waking up as the paramedics arrived and that she had a severe headache. At the hospital, continued IV and had testing done. MD interviewed friends, reviewed test results and told pt the test results were all fine and the seizure was from the shot.  07/15/04, spoke with pt midday, stated she still did not feel well. PMD had advised to seek follow up prior to leaving hospital. Reminded of options of care. Plans to go to hospital today. 15:20 spoke to a friend, states on the way to the hospital fainted twice. The hospital has requested the records from her last ER visit and they are waiting for the information now at the Medical Center.
Age: 20.0
Sex: F
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: Phone call from pt on 07/14/04. Was seen in our Family Planning Medical Clinic the day before and received her 3rd HBV (the 1st of the adult formulation). Felt tired when she left the clinic about 14:30 or 15:00. Went home and had lunch. Went over to visit friends and chatted outside in the sun. Felt hot and went to porch to continue visit, felt weak and "passed out and seizured". This occurred about 18:30. Friends put her into their truck and were driving to the hospital when her eyes rolled back and she started to have more seizure activity. They became apprehensive and called 911 for assistance. Remembers waking up as the paramedics arrived and that she had a severe headache. At the hospital, continued IV and had testing done. MD interviewed friends, reviewed test results and told pt the test results were all fine and the seizure was from the shot.  07/15/04, spoke with pt midday, stated she still did not feel well. PMD had advised to seek follow up prior to leaving hospital. Reminded of options of care. Plans to go to hospital today. 15:20 spoke to a friend, states on the way to the hospital fainted twice. The hospital has requested the records from her last ER visit and they are waiting for the information now at the Medical Center.
Age: 5.0
Sex: M
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Right upper arm very swollen, reddened and hot to touch. Pt placed on Cefzil 250mg/5mL, 1 tsp every 12 hours for 10 days.
Age: 32.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Hyperhidrosis, Injection site erythema, Injection site oedema
Clinical narrative: Symptoms began evening of 08/16/04-started with chills, sweats-lasted about day and a 1/2-saw MD, prescribed ATB. Site reddened and swollen.
Age: 51.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site swelling, Pruritus
Clinical narrative: Had Td 04/15/03. States always had a red, flat spot on arm. 2 days ago began itching and now has a red, raised bump-very small-3mm approximately and complained of itching.
Age: 5.0
Sex: F
Vaccine: DTAP, HIBV, MMR
Symptoms: Dermatitis bullous
Clinical narrative: Child and sibling broke out with >50 pox on same day, and 2 days later 2nd sibling broke out with <50 pox. Initial 2 kids taken to ER and treated with Benadryl and Caladryl.
Age: 0.2
Sex: M
Vaccine: DTAP, HIBV, IPV, PNC
Symptoms: Injection site erythema, Injection site oedema, Rash macular
Clinical narrative: Child had blotchy skin on scalp after vaccine, no respiratory distress, swelling and redness at LAT injection sites.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Fever, red, raised area at shot site.
Age: 42.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Local erythema and heat.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site oedema, Injection site warmth
Clinical narrative: Leg swollen to 1.5 inch larger diameter, red from shot site to knee, hot to touch.
Age: 13.0
Sex: F
Vaccine: HEP, MMR, TD
Symptoms: Erythema, Hypersensitivity
Clinical narrative: Notified by mother that one hour after child received vaccines, she developed allergic attack on skin. Red, irritated questioned Hep B vaccine. Only new vaccine to child has treatment available. Instructed to contact her MD regarding continuation of vaccine series.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pyrexia
Clinical narrative: Fever 104 degrees; Given Benadryl 50mg per mouth, Tylenol 1000mg and Ibuprofen 600mg every 4-6 hours alternating.
Age: 4.0
Sex: F
Vaccine: DTAP
Symptoms: Injection site erythema, Injection site oedema, Injection site pain, Injection site warmth
Clinical narrative: Left upper arm developed circumferential swelling then redness, warmth, mild pain, within 24 hours of injection.  In the left deltoid area. Swelling and redness maximized at 36-48 hours with swelling extending distally to mid-line arm. No neurologic or vascular compromise occurred.
Age: 5.0
Sex: F
Vaccine: VARCEL
Symptoms: Agitation, Injection site erythema, Injection site oedema
Clinical narrative: On 08/19/04, mother telephoned with complaints of red, swollen right thigh- "mood not normal", but denies lethargy, but irritable. Varivax given 08/06/04, advised to observe. Give Tylenol or Motrin per directions, over the counter Benadryl as well. Call if worsening or no improvement.
Age: 1.25
Sex: M
Vaccine: DTAP, IPV
Symptoms: Feeling hot, Injection site erythema, Injection site mass, Skin ulcer
Clinical narrative: 4 inch diameter hot, red, indurated lesion at anterior right thigh.
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Feeling hot, Injection site erythema
Clinical narrative: Red area at shot site, warm to touch
Age: 5.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Pain, Urticaria
Clinical narrative: Hives on Left leg-c/o pain.
Age: 2.0
Sex: F
Vaccine: DTAP, MMR
Symptoms: Injection site erythema, Injection site oedema, Tenderness
Clinical narrative: Redness, swelling, tenderness over entire thigh.
Age: 2.0
Sex: F
Vaccine: HEPA
Symptoms: Injection site reaction, Rash maculo-papular
Clinical narrative: Pt got a localized reaction from Hep A shot. A red raised rash approx 8cm occurred around the shot area the day following the injection.
Age: 14.0
Sex: F
Vaccine: DT
Symptoms: Hyperhidrosis, Hypotension
Clinical narrative: 2:50PM- DT Booster was given. 3:05PM-became diaphoretic, no BP, unable to see HR. 3:07PM-0.3 ml Idronlir 1:1000 given. 3:10PM-became GHT, BP 72/50 P=92.
Sex: U
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Injection site mass, Tenderness
Clinical narrative: red, indurated area slightly tender left upper deltoid approx 3x7cm.
Age: 3.0
Sex: U
Vaccine: IPV, MMR
Symptoms: Blister, Erythema, Rash papular
Clinical narrative: Erythematous  papules with suggestions of vesicular lesions. Few on chest arms, pelvis, 1 on leg.
Sex: U
Vaccine: HEPA, RAB
Symptoms: Myalgia, Pain
Clinical narrative: Client c/o 4-5 hr post Rabavert vaccine dose #2, muscle pains/ soreness left arm, leg, shoulder-did not sound like neurological-She did get dose #3 on day 8/5/04 with milder pain arm, neck, shoulder, no leg.
Age: 1.0
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC, VARCEL
Symptoms: Rash
Clinical narrative: MMR rash all over face and trunk, prescribed Benadryl.
Age: 57.0
Sex: M
Vaccine: HEP
Symptoms: Arthralgia, Chest pain, Neck pain, Pruritus
Clinical narrative: Noted 9:30PM on 8/13/04 began experiencing Left hip pain and took Advil 200mg. By 11PM began experiencing Left upper chest/neck pain radiating down left arm specifically c/o joint pain which shortly after began on right side upper body then began experiencing intense itching to both legs. Pain to joints and itching persisted until 1:30AM when he fell asleep. When he woke up at 5:30AM continued to experience sore joints but not at the same intensity which persists to date. Also on occasion experiences severe left hip pain since 8/13/04. Has not Rx symptoms with OTC medications 2 hr,  fear of further problems.
Age: 1.5
Sex: F
Vaccine: DTAP, VARCEL
Symptoms: Rash maculo-papular
Clinical narrative: 08/12/2004 Mom noticed red raised spots on child's belly size-1/2 of eraser head. Next day 08/13/04 6-7 on Belly 6-7 on back arms and legs. Denies itching or puss filled spots. Dr visit made. Dr not sure if chicken pox or vaccine related. No treatment rendered. PC to manufacturer reported info.
Age: 1.33
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Convulsion, Epilepsy, Gaze palsy, Injection site nodule, Loss of consciousness
Clinical narrative: On office visit 6/4/04 mother states she usually gets big bumps like bug bites after her immunizations, was with her grandmother yesterday around 9:30PM who said she shook all over, eyes rolled back in head and was unconscious 3-5 min went to ER and was told it could be from immunizations. Mom states she had a subj. fever on the way to ER.
Age: 1.33
Sex: F
Vaccine: HIBV, MMR, VARCEL
Symptoms: Pyrexia
Clinical narrative: On office visit 6/4/04 mother states she usually gets big bumps like bug bites after her immunizations, was with her grandmother yesterday around 9:30PM who said she shook all over, eyes rolled back in head and was unconscious 3-5 min went to ER and was told it could be from immunizations. Mom states she had a subj. fever on the way to ER.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Erythema, Oedema, Tenderness
Clinical narrative: Local swelling with erythema and tenderness
Age: 9.0
Sex: F
Vaccine: TD
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site mass, Pruritus
Clinical narrative: Pt came to Kaiser to have injection site evaluated c/o redness and itchiness at site Td given yesterday. Right deltoid has area of induration 5" x 5 1/4". Warm to touch. Area erythematous.
Age: 4.0
Sex: M
Vaccine: DTAP, HEPA, MMR
Symptoms: Erythema, Feeling hot, Oedema
Clinical narrative: Left deltoid area hot, swollen, red. Applied ice pack, ibuprofen given advised parent to continue x 24 hr.
Age: 0.33
Sex: F
Vaccine: UNK
Symptoms: Face oedema, Oedema, Pain, Parotitis
Clinical narrative: 4 days after vaccination the girl started with edema and pain in the right side of the face. Tx: antibiotics IV for 24 hours. (Note at bottom of form): The girl is fine.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Rash erythematous, Rash macular, Urticaria
Clinical narrative: Developed maculo erythematous rash over right arm- suggestive urticarial rash. Benadryl 12.5mg/5ml QID PRN. Prednisone 30mg with food x Sd.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Feeling hot, Injection site erythema, Injury, Oedema
Clinical narrative: 8/19/04 phone call. Has been over 36 hr since injection with no relief from Tylenol, cool compress, etc. Referred to physician. Got kindergarten shots Tues in HD. Got DTaP in right arm-now very red, hot, sore and swollen. Ear right, mom cleaning with Q-tip, started to bleed.  Pt alert with NAD, minimal abrasion Left ear. Lungs okay. Eating. 16cmx8cm area of erythema and tenderness, warmth to right upper arm, swelling injection site. Some reaction US 2 hr after injection. Continue Benadryl as directed, add Augmentin 600 ES. 1 1/2 tsp every BID for 10 days. To CB with concerns or not better with treatment.
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Pain, Tenderness
Clinical narrative: 8/19/04 phone call. Has been over 36 hr since injection with no relief from Tylenol, cool compress, etc. Referred to physician. Got kindergarten shots Tues in HD. Got DTaP in right arm-now very red, hot, sore and swollen. Ear right, mom cleaning with Q-tip, started to bleed.  Pt alert with NAD, minimal abrasion Left ear. Lungs okay. Eating. 16cmx8cm area of erythema and tenderness, warmth to right upper arm, swelling injection site. Some reaction US 2 hr after injection. Continue Benadryl as directed, add Augmentin 600 ES. 1 1/2 tsp every BID for 10 days. To CB with concerns or not better with treatment.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR
Symptoms: Ear pain, Feeling hot, Pallor, Pharyngolaryngeal pain, Tremor
Clinical narrative: Pt was fine during the shots, but when she stood up her legs were shaking and she was holding her ears and throat, she was pale and warm to touch, able to answer questions and state what was wrong with her; sent to ER, spoke with mom and ER both report child doing fine upon arrival to ER.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site inflammation, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 082404 MOM NOTICED EDEMA, INFLAMMATION, TENDERNESS & HOT TO TOUCH AREA LEFT ARM @ INJECTION SITE APPROX 4"X3". ADVISED WARM COMPRESSES TO AFFECTED AREA, TYLENOL Q4-6 HOURS PRN & OTC ANTIBIOTIC TO AFFECTED AREA PRN
Age: 0.2
Sex: M
Vaccine: DTAP, HBHEPB, IPV, PNC
Symptoms: Agitation, Decreased appetite, Pyrexia
Clinical narrative: NON-CONSOLABLE CRYING WHEN AWAKE, TEMPERATURE OF 101 DEGREES, DECREASED EATING
Age: 2.0
Sex: M
Vaccine: HEPA, MMR
Symptoms: Fatigue, Irritability, Pyrexia
Clinical narrative: fever (101-102 F), tiredness, crankiness began the day after the vaccine treated with tylenol, motrin and TLC
Age: 3.0
Sex: F
Vaccine: VARCEL
Symptoms: Cough, Pallor, Vomiting
Clinical narrative: patient became pale,coughed, and vomited after leaving exam room (had not been crying or upset during immunization procedure)
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Nausea
Clinical narrative: 08/13/04 Received Td, 08/14/04 arm sore, p.m. got knot, 6pm swelled, red, 08/15/04 3 am Tachycardia, nausea (does have a mitral valve prolapse) no emesis.  arm throbbed and hurt all the way over. Sun pm swelling down, 08/16/04 right arm red but not swollen.
Age: 21.0
Sex: F
Vaccine: TD
Symptoms: Tachycardia
Clinical narrative: 08/13/04 Received Td, 08/14/04 arm sore, p.m. got knot, 6pm swelled, red, 08/15/04 3 am Tachycardia, nausea (does have a mitral valve prolapse) no emesis.  arm throbbed and hurt all the way over. Sun pm swelling down, 08/16/04 right arm red but not swollen.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Patient had reaction in Right shoulder area.  Redness, swelling, and redness.  Treating with over the counter ibuprofen at this time as well as cool compresses.
Age: 16.0
Sex: F
Vaccine: HEP, MMR, TD, VARCEL
Symptoms: Syncope, Syncope vasovagal
Clinical narrative: Patient experienced a vasovagal episode with syncope, paramedics called and fluids administered via IV, transported to ER via ambulance and later released to home.
Age: 4.0
Sex: M
Vaccine: DTAP, IPV, MMR
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: After Receiving DTAP immunization in left IM muscle one day later presented with redness, heat and hardness of site. Was Rx antibiotics as well as benadryl
Age: 1.0
Sex: F
Vaccine: MMR, VARCEL
Symptoms: Urticaria
Clinical narrative: Generalized hives from 4mm to 1.5 cm in size.  Started 10 days after vaccines given.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Feeling hot, Headache, Injection site pain, Nausea, Pyrexia
Clinical narrative: Headache, Nausea and Vomiting starting approx. 12 hours after injection given, along with low grade fever and very sore arm. Shooting pain with injection down entire length of arm. Arm warm to touch, minimal swelling noted per mother.
Age: 18.0
Sex: M
Vaccine: TD
Symptoms: Swelling, Vomiting
Clinical narrative: Headache, Nausea and Vomiting starting approx. 12 hours after injection given, along with low grade fever and very sore arm. Shooting pain with injection down entire length of arm. Arm warm to touch, minimal swelling noted per mother.
Age: 1.0
Sex: F
Vaccine: VARCEL
Symptoms: Pyrexia, Rash, White blood cell count decreased
Clinical narrative: 8-22-04 - fever of between 101.5 and 104.3..fever persisted through 8-23.  Fever has returned at sporadic intervals (up to 102.8) and a rash appeared as of the AM on 8/25.  Patient has not recovered as of the date of this report.  Have treated fever with Tylenol.
Age: 1.3
Sex: F
Vaccine: DTAP
Symptoms: Convulsion, Pyrexia, Tremor
Clinical narrative: She received her 4th DTAP on 8/12/04 at 3:30 pm.  At 10pm that evening, she developed a high fever to 104 and had a 5-10 minute whole body seizure.   At 4pm on 8/14/04- she had another short seizure and had a persistant fever. She was admitted to the hospital where a CT scan, LP, blood and urine culture, lytes were normal. She had 2 additional short episodes of shaking lasting 30-45 seconds in the hospital. She was discharged home on clonopine for 24 hours. Follow up is scheduled with peds neurology.