chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 20.0
Sex: M
Vaccine: FLU(H1N1), FLU3, IPV, MNQ, TDAP
Symptoms: Blood glucose increased, Diabetes mellitus, Fatigue, Hyperglycaemia, Hyperphagia
Clinical narrative: 28 y/o service member (SM) was in his usual state of excellent health prior to Nov 2010. Looking back, SM recalls developing symptoms of hyperglycemia sometime around November/Dec 2010. He experienced symptoms of polyuria, polydipsia, leg cramps, fatigue, polyphagia, and weight loss of approximately 40-pound. These symptoms had gradually increased leading him to seek evaluation with civilian providers in Jan 2011. At that time, his glucose level was in the 600s and he was diagnosed with diabetes. Initially, Metformin and Glipizide were initiated, but his glucose levels continued to be in the 400s. He was evaluated by Endocrinology and changed to an intensive insulin regimen including daily LANTUS with pre-meal HUMULOG as well as supplementation for hyperglycemia. He is currently pending a change to continuous insulin infusion. He is not sure if he has been tested for any diabetes-related antibodies or C-peptide. Since diagnosis, SM has been followed through a local civilian Endocrinologist, with some follow-up through military medical providers. SM received anthrax vaccine and FLUMIST in Oct 2010 and Smallpox and Yellow Fever vaccines in July 2010, with multiple vaccines received in June. He denies any unusual or prolonged reactions within the first 1-2 weeks following vaccine receipt. SM does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. SM does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He has no family Hx of T1DM or T2DM.
Age: 20.0
Sex: M
Vaccine: FLU(H1N1), FLU3, IPV, MNQ, TDAP
Symptoms: Muscle spasms, Polydipsia, Polyuria, Weight decreased
Clinical narrative: 28 y/o service member (SM) was in his usual state of excellent health prior to Nov 2010. Looking back, SM recalls developing symptoms of hyperglycemia sometime around November/Dec 2010. He experienced symptoms of polyuria, polydipsia, leg cramps, fatigue, polyphagia, and weight loss of approximately 40-pound. These symptoms had gradually increased leading him to seek evaluation with civilian providers in Jan 2011. At that time, his glucose level was in the 600s and he was diagnosed with diabetes. Initially, Metformin and Glipizide were initiated, but his glucose levels continued to be in the 400s. He was evaluated by Endocrinology and changed to an intensive insulin regimen including daily LANTUS with pre-meal HUMULOG as well as supplementation for hyperglycemia. He is currently pending a change to continuous insulin infusion. He is not sure if he has been tested for any diabetes-related antibodies or C-peptide. Since diagnosis, SM has been followed through a local civilian Endocrinologist, with some follow-up through military medical providers. SM received anthrax vaccine and FLUMIST in Oct 2010 and Smallpox and Yellow Fever vaccines in July 2010, with multiple vaccines received in June. He denies any unusual or prolonged reactions within the first 1-2 weeks following vaccine receipt. SM does not recall any viral-type symptoms just prior to or on the days of vaccine receipt. SM does not recall a history of infection or symptoms of cough, fever, sinus symptoms, congestion or diarrhea prior to his diagnosis of T1DM. Denies a previous history of elevated glucose or blood pressure levels or history of hypertension. He has no family Hx of T1DM or T2DM.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Bradycardia, Feeling hot, Hypotension, Nausea
Clinical narrative: Within 1 minute post vaccination, patient reported nausea, not feeling well. Exam revealed bradycardia, hypotension, resolved with laying supine 30 min.
Age: 5.0
Sex: M
Vaccine: PNC13
Symptoms: Erythema, Swelling, Tenderness
Clinical narrative: Patient was given 8/10/11 PCV 13 (R) deltoid. Complaints increased swollen, redness on 8/12/11. Reaction is erythematous/tenderness with diameter 6cm x 8cm. No weakness/numbness (R) shoulder full range of movement (ROM).
Age: 1.04
Sex: F
Vaccine: PNC13, VARCEL
Symptoms: Irritability, Pyrexia, Rash macular, Similar reaction on previous exposure to drug
Clinical narrative: Fever up to 102 x 6 days, fussy, rash-faint, splotchy on back, stomach on 8th day after vaccine. Fussy x 2 wks after previous PREVNAR 13 on 5/4/11.
Age: 50.0
Sex: F
Vaccine: PPV, TDAP
Symptoms: Injection site erythema, Injection site swelling, Pyrexia
Clinical narrative: Pneumonia vacc, Tdap on 8-16-11. (R) arm injection site was swollen & red. Fever of 102 degrees F Tx'd at health clinic. Was given an injection of antibx.
Age: 0.63
Sex: M
Vaccine: DTAPIPVHIB, PNC, RV5
Symptoms: Autopsy, Death, Sudden infant death syndrome
Clinical narrative: Sudden infant death. Patient received vaccine in the morning. Found dead at around 9pm after he was put in bed at 7pm.
Age: 0.34
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Crying, Urticaria
Clinical narrative: Developed hives of face 10 minutes after administration of vaccines. Cried profusely. Vital signs taken - ADRENALIN & BENADRYL administered - after 10 minutes partial resolution after 20 minutes full resolution of hives.
Age: 10.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
Clinical narrative: Lt arm at site red induration 1x4 warm to touch.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, PNC13
Symptoms: Body temperature increased, Seizure like phenomena, Syncope
Clinical narrative: Syncope episode with seizure activity lasting around 5 min. T - 102 degrees. To ER per EMS.
Age: 20.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Injection site swelling, itching, red spread to the entire upper arm.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Fall, Head injury, Laceration, Loss of consciousness
Clinical narrative: Pt. passed out after receiving Tdap (approx 4-5 min after injection) fell and hit forehead - open lac required glue & MD visit.
Age: 1.09
Sex: F
Vaccine: MMR
Symptoms: Vomiting
Clinical narrative: Vomiting - mom questions if formaldehyde or some other ingredient triggered the reaction.
Age: 58.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Pain, Swelling
Clinical narrative: Erythema - started in first 5 minutes - continued to grow - painful/raised 4 days later now resolving - MD recommended ADVIL/heat.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Eye swelling, Facial pain, Feeling hot, Headache
Clinical narrative: 15 minutes post shot - headache, 3-4 hrs worse headache. 8 hrs later couldn't breathe, face hurt, hot. Eyes almost swollen closed - took BENADRYL. Threw up due to headache. 24 hrs later better.
Age: 49.0
Sex: F
Vaccine: FLU3
Symptoms: Vomiting
Clinical narrative: 15 minutes post shot - headache, 3-4 hrs worse headache. 8 hrs later couldn't breathe, face hurt, hot. Eyes almost swollen closed - took BENADRYL. Threw up due to headache. 24 hrs later better.
Sex: U
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Redness at injection site and tenderness. Patient not suffering from itching or burning. Patient has noticed increasing redness at injection site.
Age: 28.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Arthralgia, Chills, Feeling cold, Gait disturbance, Influenza virus test negative
Clinical narrative: Pt c/o sore arm on 8/18, but later in the evening went to a cyclic fever with chills & shivering throughout the night. On 8/18/11 by 9pm whole body ached, joints hurt, couldn't walk very far, some nausea. Ended up in ER department; Dr tested for different infections and all negative. Concluded adverse rxn.
Age: 28.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Malaria antibody test negative, Mononucleosis heterophile test negative, Nausea, Pain, Pain in extremity
Clinical narrative: Pt c/o sore arm on 8/18, but later in the evening went to a cyclic fever with chills & shivering throughout the night. On 8/18/11 by 9pm whole body ached, joints hurt, couldn't walk very far, some nausea. Ended up in ER department; Dr tested for different infections and all negative. Concluded adverse rxn.
Age: 28.0
Sex: M
Vaccine: HEP, HEPA, MNQ
Symptoms: Pyrexia, Streptococcus test negative
Clinical narrative: Pt c/o sore arm on 8/18, but later in the evening went to a cyclic fever with chills & shivering throughout the night. On 8/18/11 by 9pm whole body ached, joints hurt, couldn't walk very far, some nausea. Ended up in ER department; Dr tested for different infections and all negative. Concluded adverse rxn.
Age: 38.0
Sex: M
Vaccine: FLU3
Symptoms: Dyspnoea, Hyperhidrosis, Pallor, Syncope
Clinical narrative: Fainting, shortness of breath, pale, sweating. Treatment: EPIPEN 0.3mg.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Throat irritation
Clinical narrative: Area around injection site is quite pronounced and erythematous. Pt's feeling like his throat is "feeling funny" - no trouble breathing (BENADRYL).
Age: 1.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, MMR, PNC13, VARCEL
Symptoms: Ophthalmoplegia, VIth nerve paralysis
Clinical narrative: Ocular palsy - cranial nerve 6.
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site swelling, Vomiting
Clinical narrative: Mother phoned to state that patient received vaccines yesterday, vomited last evening, had swelling in both legs yesterday but only the Rt leg is swollen today to below his knee. Advised ice and Ibuprofen.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Inappropriate schedule of drug administration
Clinical narrative: VZV number # 2 not noticed - gave a 3rd today.
Age: 12.0
Sex: F
Vaccine: TDAP, VARCEL
Symptoms: Injection site erythema, Injection site oedema
Clinical narrative: Local edema/erythema at injection site - woke next morning with some. OV 8/18/11. Arm 12 cm area without cardinal signs of infection. No airway compromise. Reassured. Supportive care only/recheck in 5 days.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Crying spell for 2-3h after receiving vaccine.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Crying, Diet refusal, Injection site erythema, Injection site movement impairment, Injection site pain
Clinical narrative: Crying spell for 2-3h after receiving vaccine.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Injection site scab, Injection site swelling, Pyrexia, Screaming
Clinical narrative: Crying spell for 2-3h after receiving vaccine.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Crying
Clinical narrative: Child was healthy at 2 months of age when received routine vaccinations on 3/7/11 (DTAP, HIB, HepB, IPV, pneumococcal, rotavirus) about 1030am. He cried and continued to cry for next several hours (5-6 hours). Mom advised crying was inconsolable screaming, axillary fever of 100F, and left leg injection site was red, swollen and child not moving leg about much due to pain. Child had "quarter size" swollen area to leg. He was treated with TYLENOL and ice packs per PCP instructions (called on phone) with minimal relief. Child fell asleep about 5 pm that evening, was rousable but wouldn't eat or drink. The next morning he was better, eating some and his leg had dime size erythemic area with scab to injection site. He was afebrile and moved leg some. On day 2 he was back to his normal happy self. He returned to PCP for 4 month shots which were given separately...on 5/2/11 rotavirus 2, on 5/14/11 HIB2, IPV2, on 5/26/11 pneumococcal 2 and on 7/14/11 rotovirus3, IPV3 and HIB3. He was referred to clinic immunization for plain DT however vaccine needed to be ordered and completion of requested paperwork delayed shots. Mom came to clinic on 8/17/2011 and was referred to clinic for further evaluation and consultation.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Crying, Diet refusal, Injection site erythema, Injection site movement impairment, Injection site pain
Clinical narrative: Child was healthy at 2 months of age when received routine vaccinations on 3/7/11 (DTAP, HIB, HepB, IPV, pneumococcal, rotavirus) about 1030am. He cried and continued to cry for next several hours (5-6 hours). Mom advised crying was inconsolable screaming, axillary fever of 100F, and left leg injection site was red, swollen and child not moving leg about much due to pain. Child had "quarter size" swollen area to leg. He was treated with TYLENOL and ice packs per PCP instructions (called on phone) with minimal relief. Child fell asleep about 5 pm that evening, was rousable but wouldn't eat or drink. The next morning he was better, eating some and his leg had dime size erythemic area with scab to injection site. He was afebrile and moved leg some. On day 2 he was back to his normal happy self. He returned to PCP for 4 month shots which were given separately...on 5/2/11 rotavirus 2, on 5/14/11 HIB2, IPV2, on 5/26/11 pneumococcal 2 and on 7/14/11 rotovirus3, IPV3 and HIB3. He was referred to clinic immunization for plain DT however vaccine needed to be ordered and completion of requested paperwork delayed shots. Mom came to clinic on 8/17/2011 and was referred to clinic for further evaluation and consultation.
Age: 0.14
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC, RV5, DTAPIPV, HEP, HIBV, PNC, RV5
Symptoms: Injection site scab, Injection site swelling, Pyrexia, Screaming
Clinical narrative: Child was healthy at 2 months of age when received routine vaccinations on 3/7/11 (DTAP, HIB, HepB, IPV, pneumococcal, rotavirus) about 1030am. He cried and continued to cry for next several hours (5-6 hours). Mom advised crying was inconsolable screaming, axillary fever of 100F, and left leg injection site was red, swollen and child not moving leg about much due to pain. Child had "quarter size" swollen area to leg. He was treated with TYLENOL and ice packs per PCP instructions (called on phone) with minimal relief. Child fell asleep about 5 pm that evening, was rousable but wouldn't eat or drink. The next morning he was better, eating some and his leg had dime size erythemic area with scab to injection site. He was afebrile and moved leg some. On day 2 he was back to his normal happy self. He returned to PCP for 4 month shots which were given separately...on 5/2/11 rotavirus 2, on 5/14/11 HIB2, IPV2, on 5/26/11 pneumococcal 2 and on 7/14/11 rotovirus3, IPV3 and HIB3. He was referred to clinic immunization for plain DT however vaccine needed to be ordered and completion of requested paperwork delayed shots. Mom came to clinic on 8/17/2011 and was referred to clinic for further evaluation and consultation.
Age: 11.0
Sex: F
Vaccine: VARCEL
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Erythema/swelling at injection site.
Age: 29.0
Sex: F
Vaccine: RAB
Symptoms: Asthenia, Dizziness, Nausea
Clinical narrative: DIZZY, WEAK, NAUSEA
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Lethargy, Pyrexia, Vomiting
Clinical narrative: High Fever (104.1), vomiting, lethargy  Treated at home.
Age: 10.0
Sex: M
Vaccine: DTAP, HEPA, HEPA, TDAP
Symptoms: Depressed level of consciousness, Fatigue, Injection site pain, Vaccination complication
Clinical narrative: My son was complaining about pain from the injection sites. We were at our local fair. Suddenly, he said he was extremely tired and laid down on the grass and fell deeply asleep on the grass (it happened very quickly). We could not rouse him. He would wake every few minutes and he was aware of where he was and who we were, but he could not wake himself up. We contacted the EMTs that were at the fair. He was taken to the First Aid booth where he was checked for other possible problems. He was not dehydrated, nor did he have fever or any other problems. The EMTs thought it was probably a reaction to the TDAP vaccine. The whole incident lasted about an hour. In the end, he woke up and was hungry and seemed fine.
Age: 10.0
Sex: M
Vaccine: DTAP, HEPA, HEPA, TDAP
Symptoms: Fatigue, Somnolence
Clinical narrative: My son was complaining about pain from the injection sites. We were at our local fair. Suddenly, he said he was extremely tired and laid down on the grass and fell deeply asleep on the grass (it happened very quickly). We could not rouse him. He would wake every few minutes and he was aware of where he was and who we were, but he could not wake himself up. We contacted the EMTs that were at the fair. He was taken to the First Aid booth where he was checked for other possible problems. He was not dehydrated, nor did he have fever or any other problems. The EMTs thought it was probably a reaction to the TDAP vaccine. The whole incident lasted about an hour. In the end, he woke up and was hungry and seemed fine.
Age: 1.0
Sex: M
Vaccine: HIBV, MM, PPV, VARCEL
Symptoms: Eating disorder, Pyrexia, Rash, Skin discolouration
Clinical narrative: Fever of 102 F.  Not eating.  08/09/2011 spots of face, stomach, back, and arms.
Age: 0.64
Sex: F
Vaccine: DTAP
Symptoms: Febrile convulsion
Clinical narrative: Febrile Seizures
Age: 31.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction, Lymphadenopathy, Muscle twitching, Neck pain, Tenderness
Clinical narrative: Constant muscle twitching in upper portion of left arm, same arm in which Tdap was placed.  Twitching lasted three days, through 8/18/2011.  On 8/19/2011, I noticed a supraclavicular swollen lymph node or other nodule on the left side of my neck.  It was slightly tender to touch.  Today, 8/20/2011, that node has gotten larger and is irritatingly painful.
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Fungal infection, Oedema genital, Swelling, Vulvovaginal burning sensation, Vulvovaginal pruritus
Clinical narrative: Extremely severe yeast infection due to Gardasil injection shot 1; severe labia and vulva swelling; extreme itching and burning sensation at external vaginal site
Age: 25.0
Sex: F
Vaccine: HPV4
Symptoms: Vulvovaginal swelling
Clinical narrative: Extremely severe yeast infection due to Gardasil injection shot 1; severe labia and vulva swelling; extreme itching and burning sensation at external vaginal site
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Rash, Urticaria
Clinical narrative: severe hives/rashes
Age: 0.17
Sex: M
Vaccine: DTAP, RV5
Symptoms: Hypotonic-hyporesponsive episode, Loss of consciousness, Unresponsive to stimuli
Clinical narrative: Hypotonic Hyporesponsive Episode -  2 x episodes of loss of consciousness with inability to arouse.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 8/20/11 pt came in to have me look at her arm. There is a red raised area at injection site. She said it is sore to the touch & warm. She said she is putting OH on it. I told her to DC the OH & if not better by Mon call Dr.
Age: 54.0
Sex: F
Vaccine: FLU3
Symptoms: Asthma
Clinical narrative: After returning home from receiving influenza shot. Asthma attack - visit to hospital ER. Flu shot received 8/19/11.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site erythema, Injection site vesicles, Injection site warmth
Clinical narrative: (R) thigh 9x10 cm erythemic subcutaneous reaction slightly warm to touch 2mm clear vesicle at insertion site.
Age: 67.0
Sex: F
Vaccine: FLU3
Symptoms: Dyspnoea, Feeling cold, Pyrexia, Tremor, Vomiting
Clinical narrative: Pt. began throwing up, shaking, running a fever, was cold & couldn't get warm, and had difficulty breathing (couldn't get air in) about 4 hours post-vaccination.
Age: 7.0
Sex: M
Vaccine: FLU3
Symptoms: Abasia, Arthritis, Arthritis infective, Borrelia test, Injection site pain
Clinical narrative: By 9/27/10 patient was having pain in the right hip area where he received the vaccine (flu). By 9/28/2010, he couldn't walk the pain was too extreme. By 10/1/2010, 3 days later, his right knee was inflamed & infected (please) see story (attached).
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Pt has rash in patches on various parts of body - pt is taking BENADRYL.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Computerised tomogram normal, Crying, Electroencephalogram normal, Laboratory test normal, Nuclear magnetic resonance imaging normal
Clinical narrative: Was in bouncy seat at home. Mom heard "unusual cry" and noted tonic/clonic movements/staring/head deviation. Lasted about 1 minute. Taken to ER. Sleepy & calm in ER. Admitted for observation x24 hours. Labs WNL.  EEG WNL. MRI WNL. CT WNL. No FH Sx's. Has neuro followup 9/13/11.
Age: 0.36
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Posture abnormal, Somnolence, Staring, Tonic clonic movements
Clinical narrative: Was in bouncy seat at home. Mom heard "unusual cry" and noted tonic/clonic movements/staring/head deviation. Lasted about 1 minute. Taken to ER. Sleepy & calm in ER. Admitted for observation x24 hours. Labs WNL.  EEG WNL. MRI WNL. CT WNL. No FH Sx's. Has neuro followup 9/13/11.
Age: 38.0
Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Burning sensation, Flatulence, Pain, Pyrexia
Clinical narrative: Severe stomach cramps, gas, painful burning, slight fever, sleepiness, tired. Symptoms have been ongoing and 2 doses of oral pills have been taken. Issues started a day after taking the pill...fine before that. Very painful and have to stop taking pills to see if this will go away. Will seek medical care if not better in 1-2 more days.
Age: 38.0
Sex: F
Vaccine: TYP
Symptoms: Somnolence
Clinical narrative: Severe stomach cramps, gas, painful burning, slight fever, sleepiness, tired. Symptoms have been ongoing and 2 doses of oral pills have been taken. Issues started a day after taking the pill...fine before that. Very painful and have to stop taking pills to see if this will go away. Will seek medical care if not better in 1-2 more days.
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: C-reactive protein increased, Cellulitis staphylococcal, Eosinophil count increased, Injection site erythema, Injection site induration
Clinical narrative: Left upper arm edema, redness, firmness, warmth at injection site; pain, tenderness, stiffness progressively worsening over subsequent 18 hours to include entire arm distally (to wrist) and proximally through axilla/upper quarter region.  Took child to hospital ED; assessments by physicians and nurses and laboratory testing confirmed cellulitis/Staph A infection; treated with IVABT followed by oral antibiotics, x10 days.
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site oedema, Injection site pain, Injection site warmth, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: Left upper arm edema, redness, firmness, warmth at injection site; pain, tenderness, stiffness progressively worsening over subsequent 18 hours to include entire arm distally (to wrist) and proximally through axilla/upper quarter region.  Took child to hospital ED; assessments by physicians and nurses and laboratory testing confirmed cellulitis/Staph A infection; treated with IVABT followed by oral antibiotics, x10 days.
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Tenderness
Clinical narrative: Left upper arm edema, redness, firmness, warmth at injection site; pain, tenderness, stiffness progressively worsening over subsequent 18 hours to include entire arm distally (to wrist) and proximally through axilla/upper quarter region.  Took child to hospital ED; assessments by physicians and nurses and laboratory testing confirmed cellulitis/Staph A infection; treated with IVABT followed by oral antibiotics, x10 days.
Age: 11.0
Sex: F
Vaccine: MNQ, MNQ
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Left upper arm edema, redness, firmness, warmth at injection site; pain, tenderness, stiffness progressively worsening over subsequent 18 hours to include entire arm distally (to wrist) and proximally through axilla/upper quarter region.  Took child to hospital ED; assessments by physicians and nurses and laboratory testing confirmed cellulitis/Staph A infection; treated with IVABT followed by oral antibiotics, x10 days.
Age: 2.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Differential white blood cell count normal, Erythema, Full blood count normal, Localised oedema, Skin discolouration
Clinical narrative: Initially, patient had swollen left cheek swelling that seemed improved by next day. Then developed significant right cheek swelling with violacious skin, nontender. On oral exam, both parotid glands had significant erythema and edema around the duct. Patient remained relatively asymptomatic.
Age: 2.0
Sex: M
Vaccine: IPV, MMR, VARCEL
Symptoms: Swelling
Clinical narrative: Initially, patient had swollen left cheek swelling that seemed improved by next day. Then developed significant right cheek swelling with violacious skin, nontender. On oral exam, both parotid glands had significant erythema and edema around the duct. Patient remained relatively asymptomatic.
Age: 18.0
Sex: F
Vaccine: MEN
Symptoms: Pain in extremity
Clinical narrative: SEVERE PAIN IN BOTH LEGS AND FEET
Age: 12.0
Sex: F
Vaccine: TDAP
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Student had sore arm after injection of two Tdaps instead of one
Age: 5.0
Sex: M
Vaccine: DTAPIPVHIB, MMR
Symptoms: Pyrexia, Rash
Clinical narrative: On the 20th, patient had a low grade fever (100.7 F).  This morning, 21st, he woke up with spot on his face, chest, back and torso.    We are waiting to see how the rash develops before contacting the doctor.
Age: 12.0
Sex: F
Vaccine: HPV4
Symptoms: Injection site rash, Menstruation normal
Clinical narrative: At the site of the injection, several skin colored bumps appeared after 2 days.  Then, four days later, on 8/21/11, child began first mensturation.  Didn't know if the Gardasil injection was related to the onset of the menstruation although it is most probably related to the 30 or so, bumps.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Vaccine given 8/18/2011 w/in 24 hrs pt noticed swelling, redness, pain, & heat at injection site - and as of 8/20 rxn diameter about 2 1/2" continues to worsen 8/21.
Age: 46.0
Sex: F
Vaccine: FLU3
Symptoms: Burning sensation, Chest discomfort, Dizziness, Headache, Sensation of foreign body
Clinical narrative: About two hours after flu shot, patient suddenly felt like an elephant was sitting on her chest, ears felt on fire, throat had egg in it, headache & dizziness.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Headache, Swelling face
Clinical narrative: Patient experienced facial swelling around lips, eyes and nose around 10 o'clock. (Received shot around 5pm) also stated that she experienced shortness of breath and a headache. (Has had regular Flu shot without issue in the past) MD recommended BENADRYL only. No hospitalization.
Age: 29.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Dyspnoea, Eye swelling, Headache, Lip swelling, Swelling face
Clinical narrative: Patient experienced facial swelling around lips, eyes and nose around 10 o'clock. (Received shot around 5pm) also stated that she experienced shortness of breath and a headache. (Has had regular Flu shot without issue in the past) MD recommended BENADRYL only. No hospitalization.
Age: 9.0
Sex: F
Vaccine: HEP, MMR, OPV, TDAP, HEP, IPV, MMR, TDAP
Symptoms: Abdominal pain upper, Dyspnoea, Malaise, Pallor, Pyrexia
Clinical narrative: 8/9/11 vaccinations received, 8/10/11 PM client developed fever of 101 degrees, experienced difficulty breathing, pale color to skin, overnight and into early morning of 8/11 fever increased to 104 degrees, hallucinations, nausea, pale skin color, increased difficulty breathing with blue lips, (L) arm swelling, only treatment was use of ibuprofen.
Age: 9.0
Sex: F
Vaccine: HEP, MMR, OPV, TDAP, HEP, IPV, MMR, TDAP
Symptoms: Cyanosis, Dyspnoea, Hallucination, Nausea, Pallor
Clinical narrative: 8/9/11 vaccinations received, 8/10/11 PM client developed fever of 101 degrees, experienced difficulty breathing, pale color to skin, overnight and into early morning of 8/11 fever increased to 104 degrees, hallucinations, nausea, pale skin color, increased difficulty breathing with blue lips, (L) arm swelling, only treatment was use of ibuprofen.
Age: 9.0
Sex: F
Vaccine: HEP, MMR, OPV, TDAP, HEP, IPV, MMR, TDAP
Symptoms: Pyrexia
Clinical narrative: 8/9/11 vaccinations received, 8/10/11 PM client developed fever of 101 degrees, experienced difficulty breathing, pale color to skin, overnight and into early morning of 8/11 fever increased to 104 degrees, hallucinations, nausea, pale skin color, increased difficulty breathing with blue lips, (L) arm swelling, only treatment was use of ibuprofen.
Age: 15.0
Sex: F
Vaccine: ANTH
Symptoms: Injection site erythema, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
Clinical narrative: Hot skin at vacination site. Next day 08/13/2011-08/16/2011-Vaccination site was swollen and red felt hot to the touch and was painful to the touch. This went on for several days. Swelling went down and upper arm was sore to the touch for two to three days after.
Age: 1.02
Sex: M
Vaccine: MMR, VARCEL
Symptoms: Decreased appetite, Erythema multiforme, Irritability, Rash macular
Clinical narrative: Fussiness, loss of appetite, large blotchy spots, later identified as Erythema Multiforme Minor
Age: 12.0
Sex: M
Vaccine: DTP
Symptoms: Injection site reaction, Pyrexia, Rash erythematous
Clinical narrative: High fever of 101 2-4 hrs after patient had 400 mg IBU and red raised rash on right arm site of shot.
Age: 0.56
Sex: F
Vaccine: HEP, HIBV, IPV, PNC
Symptoms: Convulsion, Crying, Cyanosis, Neurological examination, Respiratory arrest
Clinical narrative: Nonstop uncontrollable crying for over an hour (our child has never cried literally unless she is hungry) followed by 10 minutes if sleep and then a generalized seizure, stopped breathing, turned blue and ambulance called. Seizure lasted over 3 minutes.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site discolouration, Injection site oedema, Injection site pain, Injection site pallor, Injection site reaction
Clinical narrative: Information has been received from a medical assistant concerning a 76 year old female patient with allergy to penicillin and contrast dye for retinal imaging and no pertinent medical history who on 14-JUL-2011 was vaccinated IM with a 0.5 ml dose of PNEUMOVAX 23 (Lot number 669579/0595AA; Expiration date: 30-AUG-2012) in the left deltoid. Concomitant therapy included THYROXIN and loratadine. On 18-JUL-2011 the patient came to see the nurse practitioner for complaints of injection site pain, and "swelling down into the biceps". The medical assistant reported that the nurse practitioner described the patient's arm as "mottled". The medical assistant reported that the patient reported she had also experienced a fever on an unspecified date following the PNEUMOVAX 23. But the medical assistants reported that the patient patient was afebrile on 18-JUL-2011 when the patient was came to the office. The patient sought unspecified medical attention and was not given treatment. No lab diagnostics study was performed. At the time of the report, the patient's present status was unknown. Follow up information has been received from the medical assistant reported that she did remember a female patient in particular who complained a lot, but the one patient was also fine and never heard back from her. Follow up information has been received from a Family Nurse practitioner reporting the patient had penicillin allergy - rash and contrast allergy and no illness at time of vaccination. On 14-JUL-2011 PM, the patient experienced site of injection swelling and then local edema extended to elbow, and yellow / pale discolouration at site & to elbow accompanied with swelling and persistent pain. Subsequently, the patient recovered from these events. Site of injection swelling, local edema extended to elbow, yellow / pale discolouration at site & to elbow accompanied with swelling and persistent pain were considered to be disabling by the Family Nurse practitioner. This is one of several reports received from the same source. No further information is available.
Age: 76.0
Sex: F
Vaccine: PPV
Symptoms: Injection site swelling, Livedo reticularis, Muscle swelling, Pyrexia
Clinical narrative: Information has been received from a medical assistant concerning a 76 year old female patient with allergy to penicillin and contrast dye for retinal imaging and no pertinent medical history who on 14-JUL-2011 was vaccinated IM with a 0.5 ml dose of PNEUMOVAX 23 (Lot number 669579/0595AA; Expiration date: 30-AUG-2012) in the left deltoid. Concomitant therapy included THYROXIN and loratadine. On 18-JUL-2011 the patient came to see the nurse practitioner for complaints of injection site pain, and "swelling down into the biceps". The medical assistant reported that the nurse practitioner described the patient's arm as "mottled". The medical assistant reported that the patient reported she had also experienced a fever on an unspecified date following the PNEUMOVAX 23. But the medical assistants reported that the patient patient was afebrile on 18-JUL-2011 when the patient was came to the office. The patient sought unspecified medical attention and was not given treatment. No lab diagnostics study was performed. At the time of the report, the patient's present status was unknown. Follow up information has been received from the medical assistant reported that she did remember a female patient in particular who complained a lot, but the one patient was also fine and never heard back from her. Follow up information has been received from a Family Nurse practitioner reporting the patient had penicillin allergy - rash and contrast allergy and no illness at time of vaccination. On 14-JUL-2011 PM, the patient experienced site of injection swelling and then local edema extended to elbow, and yellow / pale discolouration at site & to elbow accompanied with swelling and persistent pain. Subsequently, the patient recovered from these events. Site of injection swelling, local edema extended to elbow, yellow / pale discolouration at site & to elbow accompanied with swelling and persistent pain were considered to be disabling by the Family Nurse practitioner. This is one of several reports received from the same source. No further information is available.
Age: 12.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Erythema, Oedema peripheral, Skin warm
Clinical narrative: 1 1/2' x 2' erythematous warm, swollen area to (L) arm.
Age: 10.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site reaction
Clinical narrative: Vaccine reaction to Lt. deltoid muscle.
Age: 15.0
Sex: F
Vaccine: HPV4
Symptoms: Abdominal pain, Vomiting projectile
Clinical narrative: Projectile vomiting abdominal pain.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Blood test normal, Chest X-ray normal, Chest discomfort, Dizziness
Clinical narrative: Friday 8/12, felt very tired & slept off & on till noon - small amount of activity from 1PM-4PM left me exhausted & slept till 7PM. Ate dinner 745 & back to bed 8PM. Slept till 10:45PM & woke up very short of breath - used nebulizer albuterol, 11PM vomited - B/P 99/64, Pulse 105, Pulse ox 92 - 1230AM 8-13 paramedics came - B/P 150/90 wheezing - transport via ambulance to hospital ER at 1AM 8-13-2011.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Electrocardiogram normal, Fatigue, Hypersomnia, Influenza like illness
Clinical narrative: Friday 8/12, felt very tired & slept off & on till noon - small amount of activity from 1PM-4PM left me exhausted & slept till 7PM. Ate dinner 745 & back to bed 8PM. Slept till 10:45PM & woke up very short of breath - used nebulizer albuterol, 11PM vomited - B/P 99/64, Pulse 105, Pulse ox 92 - 1230AM 8-13 paramedics came - B/P 150/90 wheezing - transport via ambulance to hospital ER at 1AM 8-13-2011.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Listless, Vomiting, Wheezing
Clinical narrative: Friday 8/12, felt very tired & slept off & on till noon - small amount of activity from 1PM-4PM left me exhausted & slept till 7PM. Ate dinner 745 & back to bed 8PM. Slept till 10:45PM & woke up very short of breath - used nebulizer albuterol, 11PM vomited - B/P 99/64, Pulse 105, Pulse ox 92 - 1230AM 8-13 paramedics came - B/P 150/90 wheezing - transport via ambulance to hospital ER at 1AM 8-13-2011.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient developed GUILLAIN BARRE SYNDROME and was hospitalized at hospital.
Age: 5.0
Sex: F
Vaccine: DTAPIPV
Symptoms: Erythema, Pyrexia, Swelling
Clinical narrative: Fever 103.6 degrees F; TYLENOL/MOTRIN. No other source found site without redness/swelling only LN.
Age: 96.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erosion, Injection site erythema
Clinical narrative: Erythema - excoriation of left upper arm from distal shoulder to elbow. Given triamcinolone cream twice a day.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Injection site swelling, Injection site vesicles, Injection site warmth
Clinical narrative: Left arm swollen, warm to touch and blisters.
Age: 11.0
Sex: M
Vaccine: HPV4
Symptoms: Arthralgia, Hemicephalalgia, Injection site pain, Injection site swelling, Pain in extremity
Clinical narrative: Starting on Friday she complained of right-sided headaches and pain in her knees and feet.  There was no joint swelling or limitation of movement.  She has also had a painful swelling at the site of the vaccination.
Age: 9.0
Sex: M
Vaccine: HEPA, VARCEL
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Patient presented to the health department with complaints of pain in the area of his upper left thigh. The area appeared red, swollen, and was warm to the touch. Time was 8:15 a.m. on 08/11/11. Parents stated "It has been like this since he got the shot on Monday". I recommended they medicate with Tylenol or ibuprofen for pain apply a cold pack to the area and follow-up with their child's primary care provider.
Age: 27.0
Sex: M
Vaccine: MMR
Symptoms: Blood pressure decreased, Hyperhidrosis, Pallor
Clinical narrative: drop in blood pressue sweating pale
Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Injection site cellulitis, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Major rash, swelling and hot to the touch on the leg that the shot was given in. Was diagnosed with cellulitis.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Erythema, redness, swelling, pain around site area approximately 3in x 2in.  The site was itching as well.  The area was tender starting around 6:15 - 6:30 the night of the injection.  Patient was advised to use ice and ibuprofen early the next morning.  Around 1:00 on Aug. 18, 2011, the patient and her mother came to clinic to confer with doctor before going out of town.  She was advised to continue with ice and ibuprofen as wel as given samples of Zyrtec and Rx for Prednisone.
Age: 11.0
Sex: M
Vaccine: HEPA, MNQ, TDAP, VARCEL
Symptoms: Hyperhidrosis, Loss of consciousness, Nausea, Pallor
Clinical narrative: Client received Hep-A injection and was in the middle of receiving a MCV4 when he passed out.  He had LOC for only a few seconds.  I was able to place him in a supine position on the exam table.  He then awoke and was pale, nauseated, and sweating.  The client was allowed to rest and given water.  He was then able to complete his vaccinations and left the building unassisted with his parents.
Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Urticaria
Clinical narrative: Began with red welt size of half dollar, continues to grow.  Now the size of 8cm wide 12 cm tall.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Blood culture negative, CSF culture negative, Culture urine negative, Epstein-Barr virus test negative, Fluid intake reduced
Clinical narrative: One time shaking episode lasting approximately 30 seconds on day following vaccination. Also lethargy, decreased intake of food and liquids for 4 days following vaccines.
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV1
Symptoms: Herpes simplex serology negative, Hypophagia, Lethargy, Polymerase chain reaction, Tremor
Clinical narrative: One time shaking episode lasting approximately 30 seconds on day following vaccination. Also lethargy, decreased intake of food and liquids for 4 days following vaccines.
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Induration
Clinical narrative: 12 x 7 cm erythema and induration
Sex: M
Vaccine: HEP
Symptoms: Death, Sudden infant death syndrome
Clinical narrative: SIDS baby.
Age: 12.0
Sex: M
Vaccine: MMR, TDAP
Symptoms: Dizziness, Dry skin, Injection site erythema, Injection site swelling
Clinical narrative: About 24 hrs after shot (Tdap) noticed swollen red area at site of injection. Achy body, arms and legs. Increased redness to 90 mm x 130 mm when seen in clinic 8-12-11. No fever. Pt stated he was dizzy. At site of MMR 35 mm x 40 mm redness when seen at clinic 8-12-11. Pt states area feeling better today 8-12-11.
Age: 52.0
Sex: F
Vaccine: MMR
Symptoms: Papule, Rash
Clinical narrative: Mild rash - on day11 after vaccine 2mm papules on abd, back & (R) wrist. No fever, no malaise.
Age: 0.62
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Rash
Clinical narrative: Rash - not urticarial - around mouth, trunk & legs. No other symptoms.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, HEP, PPV, RV1
Symptoms: Wrong drug administered
Clinical narrative: pt was given pneumococcal 23 vaccine instead of Prevnar 13
Age: 5.0
Sex: M
Vaccine: DTAP
Symptoms: Erythema, Oedema peripheral, Pain in extremity
Clinical narrative: He had more than the usual amount of swelling, pain and redness in his arm. Size if reaction estimated at 6 by 10 cm. Improved with ice and observation.
Age: 1.03
Sex: F
Vaccine: DTAP, FLU3, HEPA, HIBV, MMR, PNC13, VARCEL
Symptoms: Convulsion, Pyrexia
Clinical narrative: PT RECEIVED 7 VACCINES IN OUR OFFICE AT THE 12 MONTH APPOINTMENT. THE PT WAS SLEEPING ON HER FATHER'S CHEST THAT NIGHT AND AT APROXIMATELY 1:00 AM, THE PT HAD A SEIZURE THE LASTED 4-5 MINUTES. THE PT WAS REPORTED TO HAVE A FEVER OF 102 WHEN ARRIVING AT EMERGENCY ROOM.
Age: 11.0
Sex: M
Vaccine: MNQ, TDAP
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Pyrexia
Clinical narrative: REDNESS, SWELLING, ITCHING, FEVER AROUND 8:00 PM ON 8/8/11.  RIGHT ARM
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Abasia, Activities of daily living impaired, Arthralgia, Asthenia, Crying
Clinical narrative: Body started aching, fever came on.  Headache started.  By Friday night (approx 30 hours after vaccine) I was unable to walk, or do anything but cry.  The pain in each and every joint of my body was unbearable.  My fever was 102.5+ and I was shaking hard.  I was so ill I was mumbling and not even making sense to my husband.  After sleeping 12 hours, I was still sick Saturday with a 100 fever and a bad headache.  I was so weak and in so much pain.  (Saturday I called my doc and told them and they said there was nothing they could do).  Sunday I was still weak, sick, and feverish.  My headache worsened Sunday and is still going on Monday afternoon at 4 pm when I am writing this.  I have lost 4.5 days at this point and I am still ill.  Today I had to go to my chiropractor to try to get her to work on my headache.  This is unbelievable.  My husband is having surgery tomorrow...we have a special needs child..and I am so sick I cannot take care of either of them and we have nobody else.  Friday night and Saturday it FELT like a life threatening illness.  I would have gone to the doctor/Emergency room but what could they do?  It was too late, I was already poisoned!
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Feeling abnormal, Headache, Malaise, Pain, Pyrexia
Clinical narrative: Body started aching, fever came on.  Headache started.  By Friday night (approx 30 hours after vaccine) I was unable to walk, or do anything but cry.  The pain in each and every joint of my body was unbearable.  My fever was 102.5+ and I was shaking hard.  I was so ill I was mumbling and not even making sense to my husband.  After sleeping 12 hours, I was still sick Saturday with a 100 fever and a bad headache.  I was so weak and in so much pain.  (Saturday I called my doc and told them and they said there was nothing they could do).  Sunday I was still weak, sick, and feverish.  My headache worsened Sunday and is still going on Monday afternoon at 4 pm when I am writing this.  I have lost 4.5 days at this point and I am still ill.  Today I had to go to my chiropractor to try to get her to work on my headache.  This is unbelievable.  My husband is having surgery tomorrow...we have a special needs child..and I am so sick I cannot take care of either of them and we have nobody else.  Friday night and Saturday it FELT like a life threatening illness.  I would have gone to the doctor/Emergency room but what could they do?  It was too late, I was already poisoned!
Age: 43.0
Sex: F
Vaccine: TD
Symptoms: Speech disorder, Tremor
Clinical narrative: Body started aching, fever came on.  Headache started.  By Friday night (approx 30 hours after vaccine) I was unable to walk, or do anything but cry.  The pain in each and every joint of my body was unbearable.  My fever was 102.5+ and I was shaking hard.  I was so ill I was mumbling and not even making sense to my husband.  After sleeping 12 hours, I was still sick Saturday with a 100 fever and a bad headache.  I was so weak and in so much pain.  (Saturday I called my doc and told them and they said there was nothing they could do).  Sunday I was still weak, sick, and feverish.  My headache worsened Sunday and is still going on Monday afternoon at 4 pm when I am writing this.  I have lost 4.5 days at this point and I am still ill.  Today I had to go to my chiropractor to try to get her to work on my headache.  This is unbelievable.  My husband is having surgery tomorrow...we have a special needs child..and I am so sick I cannot take care of either of them and we have nobody else.  Friday night and Saturday it FELT like a life threatening illness.  I would have gone to the doctor/Emergency room but what could they do?  It was too late, I was already poisoned!
Age: 27.0
Sex: F
Vaccine: HPV4
Symptoms: Pityriasis rosea
Clinical narrative: Pityriasis Rosea
Age: 11.0
Sex: M
Vaccine: TDAP
Symptoms: Anaphylactic reaction, Dyspnoea, Feeling abnormal, Throat tightness
Clinical narrative: Son reported that he was having difficulty breathing.  Also complained that his throat felt tight and like he felt like a "fish out of water".  He was treated for Anaphalaxis using an Epi pen and taken to the Emergency Room.  Was also given Prednisone and Benedryl.
Age: 6.0
Sex: F
Vaccine: DTAPIPV, FLUN3, MMR, VARCEL
Symptoms: Abnormal behaviour, Blood glucose normal, Chest X-ray normal, Computerised tomogram head, Computerised tomogram normal
Clinical narrative: Awoke at 7 AM the morning after with severe leg pain, lethargy, loss of appetite but still willing to go to Kindergarten orientation; all morning (by report) was "sleepy" (normally a very social child) and not hungry.   Was carried to nurse's office at school to lie down shortly before 11:00 AM (time of school dismissal).  At 11:00 AM, was found by mother to be unattended and non-responsive. EMS was called. Oxygen saturation 84%, began seizing. Finger stick glucose normal. IV started. Was transported to hospital by ambulance. Continued seizing after arrival even with diazepam administration en route. Lorazepam was administered shortly after arrival in emergency department. Maintained on 8 litre flow of oxygen. Pediatric neurology consult. Remained in ED approximately 5 hours until awake. Temperature in ED was reported to be normai shortly after arrival but before dismissal child complained of leg pain and nurse commented "felt warm" so ibuprofen was administered before discharge. Behavior was improving but not typical the rest of the evening.